james-barr- U7YytlNunM-unsplash

You’ll be hard pressed to find someone who hasn’t experienced a breakout at some point in their life. According to the American Academy of Dermatology (AAD), acne is the [most common](https://www.aad.org/media/stats-numbers) skin condition in the United States, with upwards of 50 million Americans dealing with it annually. 

Some 85 percent of adolescents and young adults between the ages of 12 and 24 experience at least mild acne, and it’s not exactly like those pesky pimples magically disappear in adulthood. A [study](https://jamanetwork.com/journals/jamadermatology/fullarticle/479093) in the *Journal of the American Medical Association* found that 40 to 54 percent of adults over the age of 25 have some degree of facial acne. Adult acne is considered more common in women than [men](https://aedit.com/aedition/how-to-treat-adult-acne-in-men), though it is increasingly impacting people in their [thirties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s), [forties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-40s), and beyond. 

While there are an array of [professional treatments](https://aedit.com/aedition/best-professional-treatments-for-acne-and-acne-scars) and [at-home skincare](https://aedit.com/aedition/best-skincare-ingredients-to-treat-acne-blackheads-whiteheads) that can treat various aspects of breakouts, dermatologists and plastic surgeons haven’t had a singular [solution](https://aedit.com/procedure/acne-solutions) to offer patients that targets acne at the source without a laundry list of side effects – until now. In March, Cutera received clearance from the U.S. Food and Drug Administration for [AviClear™](https://www.cutera.com/solutions/aviclear/), a first-of-its-kind energy device for the treatment of mild to severe acne, and it is being hailed as the biggest acne breakthrough in decades. Here’s what you need to know.

## **What Is AviClear?**
[AviClear™](https://aviclear.com/) is the first and only FDA-cleared energy device for the treatment of mild to severe acne. “What’s amazing is that it works on all types of acne – whether it’s cystic acne, inflammatory acne, hormonal acne, mask acne,” says [Arash Moradzadeh, MD](https://aedit.com/provider/arash-moradzadeh-md-430), a board certified plastic and reconstructive surgeon in Beverly Hills, CA. “Regardless of what type of acne you have, it’s very effective.”

The laser treatment, which is safe for all [skin tones](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types), uses a 1726-nanometer wavelength to address the source of breakouts. Acne forms when sebum (read: oil), dead skin cells, and bacteria on the skin get trapped in the pores. AviClear™ works by selectively targeting oil glands, so that they produce less oil and, over time, less acne without damaging the rest of the skin. “The laser is actually being absorbed by the sebaceous glands, causing them to be down regulated, or destroyed, so that you then have less acne,” Dr. Moradzadeh explains. 

## **Who Is the Ideal Candidate for AviClear?**
One of the most compelling things about AviClear™ is just how inclusive the treatment is. “Unlike other lasers that you can’t use on [dark skin](https://aedit.com/aedition/best-laser-skin-hair-removal-treatments-for-darker-skin-tones), you can do this on anyone,” Dr. Moradzadeh says. It also doesn’t discriminate against certain types of acne, which means it can treat patients from adolescence through adulthood. Unsurprisingly, “teenagers are one of the main groups that want this treatment,” he says – though it’s not just about short-term relief. Less acne for less periods of time will likely mean less scarring down the road. “They can get treated early and avoid getting acne scars that are then very difficult to treat and cover,” Dr. Moradzadeh shares. 

Additionally, AviClear™ is an in-office, energy-based procedure, which means it doesn’t require prescription or over-the-counter topicals, oral medications, or patients remembering to do anything at home. “You are avoiding chemicals, antibiotics, and difficult regimens that some people can’t stick to and abide by,” he says. “For example, a lot of women don’t want to be on birth control for their hormonal acne, so this is giving them a non-chemical, safe alternative.” 

## **How Does AviClear Treatment Work?**
The treatment protocol for AviClear™ is three sessions, spaced one month apart. Dr. Moradzadeh says each appointment treats the entire face – not just the areas you are prone to breakouts. “When you do the treatment, you are doing it over the whole face,” he shares. “Over the course of your three treatments, you are effectively treating all of the sebaceous glands.”

As Dr. Moradzadeh explains, patients are asked to wash their face upon arriving at the office, before the skin is “degreased” with acetone and “rehydrated” with water to improve contact. After the 15 to 30 minute treatment, he says most patients are “a little bit pink” for about 15 minutes. “There is really no downtime,” he shares. In fact, “most of my patients actually love the way they look after they leave because of that kind of micro-swelling glow in the skin,” Dr. Moradzadeh says. The effect “actually makes their acne look less visible when they walk out,” he adds. Patients can resume activities immediately after treatment.

![AviClear Before & After-2](//images.ctfassets.net/zw35sfestf1t/3iPwQlkdTBNgLWzVCIvgcT/952b4fca323e39b72051fed8e4385809/AviClearBA2.PNG)

If you’ve had a [laser treatment](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) in the past, you may be wondering about the comfort level. The AviClear™ device features a built-in sapphire cooling technology and sensory controls that work to maintain the skin’s temperature throughout the session. As such, “the treatment itself is relatively comfortable,” Dr. Moradzadeh says. “It feels a little bit hot with a needle-like sensation, but you do not require any pain medication or [numbing cream](https://aedit.com/aedition/numbing-cream-breakouts) at all.”

During the three months of treatment (and the months that follow), Dr. Moradzadeh says patients can carry on with their existing breakout-busting routine – including prescriptions like [Accutane](https://aedit.com/procedure/accutane), [spironolactone](https://aedit.com/procedure/spironolactone-for-acne-treatment), and [tretinoin](https://aedit.com/procedure/tretinoin). “You are not limited like you normally would be,” he explains. “If someone is already on Accutane, they can actually still get this treatment and then transition off their Accutane; if someone is already on spironolactone or an antibiotic or a skincare regimen, they can continue that during this treatment and then taper off.” The net-net: “Nothing has to really change,” he says.

Even so, it’s important to share your current skincare regimen with your provider to ensure you are setting yourself up for success. “I usually just review their protocol and see if there is anything better they could be doing as they get through the first six months to their clearer skin,” Dr. Moradzadeh notes. One non-negotiable during treatment? [Sunscreen](https://aedit.com/aedition/best-sunscreens-of-2022). “In terms of photosensitivity, the only thing we recommend is that you must wear sunscreen every day,” he emphasizes.

## **What Are the Results of AviClear?**
If you are familiar with Accutane, you may know that it is a brand name for isotretinoin, a potent form of vitamin A that was approved by the FDA in 1982 for the treatment of severe, resistant, nodular acne that is unresponsive to conventional therapy. The orally prescribed medication treats acne by reducing the size of oil glands and the amount of oil they produce. The results can be life-changing ([read one patient’s experience here](https://aedit.com/aedition/what-its-like-to-take-accutane)) and lasting, but it is not without a litany of side effects that makes it a difficult choice for many.

What makes AviClear™ so unique is that it treats acne in the same way, but it does so without the additional quality of life impacts. We’re highlighting the similarities between the two because the results of AviClear™ are similar to those of Accutane. “The results that have been seen are equal to Accutane, and you are also avoiding Accutane and the side effects,” Dr. Moradzadeh says. It should be noted that, during clinical testing, no significant adverse effects were observed.

So, what does that mean in practice? “When you first start Accutane, there is this phenomenon called ‘the purge’ where you get a breakout,” he explains. “With AviClear™, it is very similar.” One to two weeks after your first treatment, you can expect to have a purge period. “After your second treatment, you see less of that,” he shares. “And then, three months after your third treatment, you notice a significant reduction in your acne.” About six months after your third treatment, “you will usually love your skin,” he notes.

![AviClear Before & After-1](//images.ctfassets.net/zw35sfestf1t/2rqiD6xjS9dcmiuiUwYV62/3bb0dfffc69bf0995e981e34cbab93b9/AviClearBA1.PNG)

In the clinical studies, 80 percent of patients saw at least half of their acne clear after three treatments, and 87 percent said they were “satisfied” or “very satisfied” at week 12. The results continued to improve over the course of six months. Furthermore, any breakouts patients experienced post-treatment were reported to be shorter with fewer and smaller flare-ups. 

While AviClear™ has not yet been studied for the improvement of [acne scars](https://aedit.com/concern/acne-scars), Dr. Moradzadeh says some patients with “reddish- or pink-colored scars” find that they go away during treatment, while appearance of the remainder of their acne scars is minimized. “We are seeing skin quality improvements as a whole, but we have other treatments that are very specific for [acne scar management](https://aedit.com/procedure/acne-scar-solutions),” he notes.

## **The Takeaway**
As Dr. Moradzadeh says, AviClear™ is a “game changer” because it’s the first true acne innovation in more than 30 years. But it’s not just about the aesthetics of clearer skin. [Research](https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.16099) has found that those diagnosed with acne are at an increased risk (40 to 60 percent greater) of developing major depression, and Dr. Moradzadeh has treated patients who don’t want to leave the house or go to school because of their skin. “Acne has such a strong impact on people’s self esteem and how they feel about themselves, and it hurts to not be able to give them something that is amazing,” he says. “So, to have something now that gives them equal results to Accutane feels good.” For the first time in a long time – or maybe ever – “treating acne is a happy thing,” he notes.

Aesthetics

The 1726nm laser is being called the biggest acne breakthrough since Accutane.

The Benefits Of AviClear Laser Therapy For Treating Acne

Meet The Laser That Is Being Called The Biggest Acne Breakthrough In Decades

shutterstock 741529768

We won’t even pretend that dads aren’t more than a little difficult to shop for. But Father’s Day is right around the corner, which means it’s time to find something that properly pays homage to the dads or dad-like dudes around you. If you’ve overdone it on the classic tie and/or coffee mug, allow us to suggest some things that will allow him to indulge a bit. Whether he’s working from home, back to the office, or enjoying retirement, he definitely deserves a bit of R&R. Enter: [grooming](https://aedit.com/aedition/guide-to-mens-grooming-skincare-routine) and wellness gifts that will help him appreciate the powers of personal care as self care.

From high-tech cleansing [tools](https://aedit.com/aedition/best-at-home-grooming-tools) that also turn back the clock to multitasking [skincare](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-40s) that doesn’t require a suite of steps or products, we hereby present the best grooming and wellness finds for the father figure(s) in your life.

### **PMD Clean Pro Obsidian**
![AEDIT-PMD](//images.ctfassets.net/zw35sfestf1t/3sbGupwRM4mzBNFmnuEV8E/cbfd3f7a34be106b40083b51691d6119/AEDIT-PMD.jpg)
This multitasking tool cleanses, tones, and firms the skin in one relaxing step. The brand’s SonicGlow technology gets into the pores to break down impurities at 7,000 vibrations per minute, which just so happens to also be the ideal frequency for reducing puffiness, boosting circulation, and imparting a visible lift. The ActiveWarmth heat therapy and obsidian stone, meanwhile, improve the absorption of any skincare he puts on top. With four modes, the antibacterial silicone brush is gentle-yet-effective enough for all skin types. $179, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fpmd-clean-pro-obsidian-P467970%3FskuId%3D2426351%26icid2%3Dproducts%2520grid%3Ap467970%3Aproduct) 

### **Deeps Sleep Patch**
![AEDIT-Deeps](//images.ctfassets.net/zw35sfestf1t/3lEn4sTnfQbw9rT4tZeiOz/95854a17db9cd3cb894f70d93b37c701/AEDIT-Deeps.jpg)
Make up for all those years you kept him up at night with these slow-release patches that will help him fall asleep, stay asleep, and wake up with no grogginess. The naturally derived, drug-free, and non-habit forming formula blends ingredients that target stress (cannabinoids, ashwagandha, l-theanine), calm (lavender, lemon balm, passion flower), and, yes, sleep (cannabinoids, melatonin, valerian) to induce a night of sweet slumber. $35 for 5 patches, [getdeeps.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fgetdeeps.com%2Fproducts%2Fdeeps-sleep-patch)

### **Maison Francis Kurkdjian L'Homme À la Rose Eau de Parfum**
![AEDIT-MFK](//images.ctfassets.net/zw35sfestf1t/24u2aaKvfBF3KvHl2zgg5B/b91c413b961af98fd1ee4a4eb61a545e/AEDIT-MFK.jpg)
A rose fragrance for your dad? Hear us out. There is nothing feminine about this sensual scent that pairs two different rose notes (Damask roses from Bulgaria and Centifolia roses from Grasse) with vibrant grapefruit, musky amber woods, and earthen clary sage. The result is a woody aroma with a sparkling zest and just a hint of floral that is unexpectedly-yet-undeniably masculine. $275, [saksfifthavenue.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.saksfifthavenue.com%2Fproduct%2Fmaison-francis-kurkdjian-l-homme-%25C3%25A0-la-rose-eau-de-parfum-0400013004171.html) 

### **Marlowe NO. 102 Variety Trio**
![AEDIT-Marlowe](//images.ctfassets.net/zw35sfestf1t/4V7i3uMtTWegnYGc9XM2nS/b301606388815df76541f084cb1c85d9/AEDIT-Marlowe.jpg)
The only thing better than one Marlowe exfoliating soap bar is three. Gentle enough for daily use, the pumice-infused bars buff away dry, dead skin for smoother limbs. And, in this set, there is a scent for every mood. The Original has a fresh and woodsy aroma, Oud Wood is subtly smokey, and Santal has a spicy warmth. $26, [marloweskin.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fmarloweskin.com%2Fproducts%2Fno-102-variety-trio-3-pack) 

### **The Art of Shaving Chrome Long Handle Progress Safety Razor**
![AEDIT-ArtOfShaving](//images.ctfassets.net/zw35sfestf1t/75fCgsTtFeHd5Vy6JUhDdG/c6b09338e3cbb1b9dd237f25d7ebe6da/AEDIT-ArtOfShaving.jpg)
Upgrade his vanity with this German-engineered safety razor that adjusts to – count ‘em – six different blade settings for the ideal exposure and angle for his degree of facial hair and preferred aesthetic. The platinum-coated stainless steel double-edged blade and closed comb design allows for a cleaner experience with better control. Basically, it’s a customizable close shave from the comfort of home. $90, [theartofshaving.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Ftheartofshaving.com%2Frazor%2Fsafety%2Fchrome-long-handle-progress-safety-razor%2FPG_00670535670179.html) 

### **Anecdote Candles Dear Dad Candle**
![AEDIT-Anecdote](//images.ctfassets.net/zw35sfestf1t/34IDe2lj6sYLeifhoAsT2H/b6b4d3f61ed366f9918bdb8bfb4b49aa/AEDIT-Anecdote.jpg)
The storytelling candle brand nails it with this ode to all the overly punctual father figures out there. *Dear Dad / Thanks for always getting us to the airport four hours early.* tells the highly relatable tale of oh-so-many childhoods – though it definitely smells better than an airport. Bright notes of lemon and bergamot take off over a cocktail of oakmoss, jasmine, and geranium. White cedar and amber mist help ground the otherwise high-flying fragrance that is sure to brighten up his office, man cave, home gym, or anyplace else that needs an aromatic pick me up. $26, [anecdotecandles.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fanecdotecandles.com%2Fcollections%2Fcandles-accessories%2Fproducts%2Fdear-dad)

### **Blu Atlas Starter Set**
![AEDIT-BluAtlas](//images.ctfassets.net/zw35sfestf1t/7axVo5Smvec0qrFgR6S5Cy/a1689dbe6c068629a567ee3f497c3983/AEDIT-BluAtlas.jpg)
Can’t get your dad to commit to a skincare routine? Kickstart his regimen with this foolproof starter set from the thoughtfully curated vegan line that includes skincare, shave care, [hair care](https://aedit.com/aedition/guide-to-mens-hair-color), and personal care products. In this kit, he’ll be treated from head to toe with the soothing Body Wash, clarifying Volcanic Ash Face Cleanser, brightening Face Moisturizer, and aluminum-free Deodorant. $75, [bluatlas.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fbluatlas.com%2Fcollections%2Fall%2Fproducts%2Fstarter-set) 

### **Hyperice Hypervolt 2**
![AEDIT-Hyperice](//images.ctfassets.net/zw35sfestf1t/6XDDWYEO8108zuhQjqarZd/affdcdf3968f50ea79baaa56182a9106/AEDIT-Hyperice.jpg)
From working out to hunching over computer screens to mowing the lawn, aches and pains can be hard to avoid. This percussion massage tool delivers a daily dose of muscle relief and relaxation. With three different speed settings and Bluetooth integration with the brand’s expert-guided app, he can tailor treatment to his needs. And, if he is used to the noisy and bulky pulsating devices of yesteryear, this one is noticeably quieter, lighter, and more ergonomic. $249, [hyperice.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhyperice.com%2Fproducts%2Fhypervolt-2%2F) 

### **Hereward Farms Angry Dad Beard Oil**
![AEDIT-HerewardFarms](//images.ctfassets.net/zw35sfestf1t/NVl6zLSLcNfDb2orv8XXa/cefdf55c0912a5dca8830292c534b224/AEDIT-HerewardFarms.jpg)
We’d be lying if we said we didn’t include this product at least in part because of its cheeky moniker, but the reality is that this beard oil marries form and function. The lavender-infused blend is formulated to condition and add shine to [facial hair](https://aedit.com/aedition/facial-hair-care-products-grooming-tools) while also tending to the [skin underneath](https://aedit.com/aedition/facial-hair-treating-razor-burn-ingrown-hairs-beard-dandruff). Rich in vitamins, antioxidants, and omega-3 fatty acids, sweet almond oil improves skin tone and texture, and antibacterial lavender calms irritation and smells delightful. $19, [herewardfarm.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.herewardfarm.com%2Fproduct-page%2Fangry-dad-beard-oil%3Fcurrency%3DUSD) 

### **Uppercut Deluxe CT7 Flip Comb**
![AEDIT-UppercutDeluxe](//images.ctfassets.net/zw35sfestf1t/5sKSFkWclUrhe32Tw902DL/06acf934ee2de429fb149d73fcf894d1/AEDIT-UppercutDeluxe.jpg)
Cute, convenient, and cost effective? Sign us up. This fold away flip comb is designed for well-groomed guys on the go. The handsome hair tool is made from a plant cellulose acetate (a non-petroleum-based plastic) that will stand up to even the most active lifestyles. $10, [uppercutdeluxe.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fuppercutdeluxe.com%2Fcollections%2Fhair%2Fproducts%2Fct7-flip-comb) 

### **18.21 Man Made Carry-On 4-in-1 Travel Foam** 
![AEDIT-1821](//images.ctfassets.net/zw35sfestf1t/1wEyldldWS135Y8pzYOGAf/a8cf02769af29c1d07802fd90653b30b/AEDIT-1821.jpg)
Whether you are shopping for the dad who is a minimalist with a bare vanity, is a frequent flier in need of maximizing carry-on space, or is a gym rat with convenience in mind, this hardworking hybrid is sure to satisfy. Acting as a shampoo, conditioner, face and body wash, and shave cream in one, the foaming gel is packed with [aloe leaf juice](https://aedit.com/aedition/guide-to-aloe-vera-in-skincare), quinoa protein, menthol, and more to cleanse, moisturize, and protect the skin while also detangling and thickening the hair. Oh, and the Sweet Tobacco scent is always a fan favorite. $24, [1821manmade.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2F1821manmade.com%2Fcollections%2Fproducts%2Fproducts%2Fcarry-on) 

### **Byrd The Flock Favorites**
![AEDIT-Byrd](//images.ctfassets.net/zw35sfestf1t/561oMEjS2QcsSZFS571sXf/bd0d3c02755d08f850b4543b876dfd20/AEDIT-Byrd.jpg)
Designed with California surf culture in mind, this kit brings together the brand's bestsellers to maximize your dad's 'do. Whether he likes a polished coif or tousled tresses, the Matte Pomade and Texturizing Surfspray can be used to create just about any look. The colorful pocket comb and cult-favorite air freshener finish off the fun. $40, [byrdhair.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fbyrdhair.com%2Fproducts%2Fthe-flock-favorites)

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

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From high-tech cleansing tools to multitasking skincare, we hereby present the best grooming and wellness finds for the father figure(s) in your life.

Father's Day 2022 Grooming And Wellness Gift Guide

12 Grooming And Wellness Gift Ideas For Father’s Day 2022

shutterstock 1941572701

*Feel like you need a dictionary every time you look at the ingredient list of a beauty product? Still unsure of the difference between retinol and retinoids? What about the unique benefits of vitamins B, C, and E? Are alpha and beta hydroxy acids the same thing? The skincare aisle can be overwhelming, but you don’t need a PhD in cosmetic chemistry to navigate it. With expert help, The AEDITION is demystifying and simplifying the beauty industry — [one label at a time](https://aedit.com/aedition/category/read-the-label).*

We often discuss the [benefits of sun protection](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body) and why ultraviolet (UV) rays are [damaging to the skin](https://aedit.com/aedition/best-skincare-to-treat-sun-damage), but we have yet to delve into the hero ingredient that allows [physical sunblocks](https://aedit.com/aedition/difference-between-chemical-sunscreen-physical-mineral-sunscreen) to do their job. Allow us to introduce you to zinc oxide. The soothing mineral provides broad spectrum blocking of the sun’s rays and is gentle enough for sensitive skin – hey, it’s safe enough for babies to wear! 

With that said, it’s hard to believe zinc oxide can do even more good, right? Well, apart from working as an antioxidant, it also offers anti-inflammatory benefits for [acne-prone skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin) and helps other ingredients in your skincare and wellness routine shine. The AEDITION spoke with skincare experts to learn more about the benefits of zinc oxide and how to incorporate it into your regimen. 

## **What Is Zinc Oxide?** 
In simplest terms, zinc oxide is a white, powdery mineral that is used in a wide range of skincare, cosmetics, and personal care products, including sun protection, makeup, bath soaps, and more. “Zinc oxide is a naturally occurring white mineral found in zincite,” says Joshua Ross, a celebrity aesthetician for [Sonage](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fsonage.com%2F) and founder of [SkinLab](https://skinlabusa.com/) in Los Angeles. “This mineral can be combined with other ingredients to give it a tint that matches natural skin tones.”

Providing the broadest spectrum UVA and UVB protection (the former causes sun damage, while the latter leads to sunburns), zinc oxide is [approved](https://www.fda.gov/drugs/understanding-over-counter-medicines/sunscreen-how-help-protect-your-skin-sun) by the United States Food and Drug Administration (FDA) for use as an active ingredient in sunscreen. For that reason alone, it should be a mainstay in any skincare regimen, but it actually does even more for the skin. “Besides supporting skin healing for decades, zinc oxide today is a common active ingredient found in physical sunscreens, diaper rash creams, calamine lotions, etc.,” explains [Amy Spizuoco, DO](https://aedit.com/provider/amy-spizuoco-19341), a board certified dermatologist and founder of True Dermatology in New York City. “Zinc oxide is most commonly added to topical solutions such as moisturizers, sunscreens, and makeup products like foundations.” 

## **The Benefits of Zinc Oxide in Sun Care & Skincare** 
![Zinc Oxide Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/1S9qpXxGdPUgGsWBjwTmBP/30b1019e0ff336dc40b5cd0b63386d39/Zinc-Oxide-Skincare-Benefits-Infographic.png)
Where do we begin? Ross explains that, “in addition to sun protection, zinc has benefits including reducing [inflammation](https://aedit.com/aedition/guide-to-inflammaging), soothing, and promotes healing for [scars and wounds](https://aedit.com/concern/scars), and can help keep conditions like [eczema and psoriasis](https://aedit.com/aedition/comparing-eczema-vs-psoriasis) under control.” It also supports the skin barrier. “Additionally, the barrier formed by zinc oxide on the skin also helps to reduce transepidermal water loss, or TEWL, contributing to long-lasting moisturization,” notes Harry Fallick, MD, a plastic and reconstructive surgeon and founder of [CoTZ](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcotzskincare.com%2F). One notable misconception about the mineral: That it clogs pores. “The particles are too large to penetrate the pore, so they sit on top of the pore acting as skin protection and barrier which can keep pollutants out of the skin,” Ross adds.

In sun care, zinc oxide is one of two physical blockers (alongside titanium dioxide) that can be used in sunscreen. “Zinc oxide works by ultimately refracting and reflecting UV rays away from the skin,” Dr. Fallick explains. “It does not absorb into the skin or the bloodstream and is very gentle, making it perfect for sensitive skin, children, or [post-procedure](https://aedit.com/aedition/post-procedure-skincare-makeup-product-guide) use.” This hopefully doesn’t need repeating, but sun protection is not just for aesthetic benefits. “Not having significant sun protection can lead to [sunburn](https://aedit.com/aedition/dermatologist-tips-for-soothing-sunburn),” Dr. Spizuoco warns. “Having five or more sunburns doubles your risk for melanoma, the deadliest form of skin cancer.” 

Adequate sun protection is the best defense against all types of [skin cancer](https://aedit.com/aedition/skin-cancer-facts). “This is why I wanted to create a product that is accessible and easy to use, two of my colleagues had skin cancers removed and application, as well as reapplication, is incredibly important when it comes to sunblock,” explains Samantha Brett, the founder of Australian suncare brand [Naked Sundays](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fnakedsundays.com%2F). She acknowledges that, in the past, sunblocks with zinc oxide have gotten a bad rap for being thick, difficult to rub in, and leaving a white-cast on the skin. Fortunately, product formulations have come a long way and mineral sunscreens can now have a virtually translucent finish. 

### **The Benefits of Zinc in Food**
This article is about the benefits of topical zinc oxide, but we’d be remiss not to mention the role it plays in diet and nutrition. [Zinc](https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/#en2) is not naturally produced by the body, but it is an essential mineral for many bodily functions. It fortifies the immune system, aids in brain development and memory, and prevents cellular damage (to name a few). Recent [studies](https://pubmed.ncbi.nlm.nih.gov/25200490/#:~:text=Zinc%20in%20human%20plays%20an,decreased%20generation%20of%20inflammatory%20cytokines.) have found that it can also help alleviate the oxidative stress that leads to certain chronic diseases – especially ones that crop up with age. Foods such as chickpeas, red meat, shellfish, and cashews are good sources of zinc. If you are not getting enough zinc through your diet, supplementation may be an option.

## **The Best Candidates for Zinc Oxide** 
Due to zinc oxide’s soothing properties, anti-inflammatory benefits, and versatility, everyone is a candidate for a zinc-powered product – though the type of product you use will depend on your skin type. Those with acne-related concerns may be using a topical with zinc oxide, as per their dermatologist’s recommendations. And if you have some calming products in your over-the-counter skincare routine, there is a good chance zinc oxide is making an appearance.

There is no excuse not to wear sunscreen every single day, no matter the weather, but those with acne or other [skin sensitivities](https://aedit.com/aedition/difference-between-sensitive-vs-sensitized-skin) may be wary of adding any potential irritants to their complexion. Mineral sunscreens with zinc oxide and titanium dioxide are widely considered to be the gentlest and safest sun care products. “Zinc oxide does not cause any severe side effects, and cases of allergic reactions due to zinc oxide are rare,” Dr. Spizuoco shares. She does, however, advise women who are [pregnant or breastfeeding](https://aedit.com/aedition/skincare-ingredients-to-avoid-during-pregnancy-breastfeeding) to consult with their doctor before introducing new products to their routine.

## **How to Find the Right Zinc Oxide Product** 
At this point, you hopefully realize that you’re not only going to see zinc oxide listed on sunscreen tubes. If you have acne or other inflammatory skin conditions or are simply looking for a calming addition to your skincare routine, there is a case to be made for the mineral. Here’s what to look for:

### **Sun Care**
When it comes to zinc oxide in sunscreen, Ross recommends finding a product with no less than 10 percent. “This is regardless of SPF claims – be it  20, 30, or 40,” he says. “We know that 10 percent zinc will provide the needed protection to block out UVA, as well as UVB rays.” The exception to this 10 percent rule is formulas that pair zinc oxide with other actives that enhance its efficacy. CoTZ sunscreens, for example, combine zinc oxide and titanium dioxide because “you can achieve a higher SPF with a lower total percentage of total active ingredients than with zinc oxide alone, while still achieving good UVA coverage,” Dr. Fallick explains. This is because “zinc oxide both complements titanium dioxide’s protective abilities and extends photoprotection to the skin where titanium dioxide is insufficient,” he adds.

To ensure you [don’t miss a spot](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) when applying, Ross suggests reaching for a tinted formula due to its visibility. “If you have coverage, you have protection,” he says. “If you don’t have the coverage, you don’t have protection.” For a hint of tint, try the [Aforé Beauty Smooth Shade Tint Sunscreen](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.aforebeauty.com%2Fproducts%2Fsmooth-shade-tint) or [CoTZ Flawless Complexion SPF 50 Tinted](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcotzskincare.com%2Fcollections%2Fall%2Fproducts%2Fcotz-flawless-complexion-spf-50). If you prefer a sheer option, we’re fans of the [Sonage Protec Plus Mineral Sunscreen](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fsonage.com%2Fproducts%2Fprotec-plus-mineral-sunscreen-for-face) and [Babor DOCTOR BABOR Protect RX Mineral Sunscreen SPF 30](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fus.babor.com%2Fproducts%2F63967-doctor-babor-protect-rx-mineral-sunscreen-spf-30.html).

### **Makeup** 
Skincare ingredients in makeup is a [long-debated topic](https://aedit.com/aedition/skincare-ingredients-in-makeup) – are their concentrations strong enough to provide any real benefits? Be it a [tinted SPF](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup) or a complexion product packed with zinc oxide (we like [Thrive Causemetics Buildable Blur CC Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fthrivecausemetics.com%2Fproducts%2Fbuildable-blur-cc-cream-with-spf-35)), zinc oxide acts as a thickening agent to give your skin the protection it needs. 

While beauty products shouldn’t replace your skincare staples, a zinc oxide-powered primer (shout out to the [Naked Sundays SPF 50+ Collagen Glow 100% Mineral Perfecting Priming Lotion](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fnakedsundays.com%2Fcollections%2Fspf-mineral-collection%2Fproducts%2Fspf50-100-mineral-glow-collagen-sunscreen-naked-sundays%3Fvariant%3D39811783852196)) can pull double duty to protect and provide some grip. “We’ve formulated our products with good-for-you ingredients, such as vegan [collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine), so that you get the most from your wear,” Brett notes. 

### **Skincare**
While we categorize sun care as skincare (afterall, it’s the prevention around), zinc oxide can be found in non-SPF products formulated to treat sensitive or acne-prone skin types. In the [Plantkos Phyto Replenishing Facial Essence](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fplantkosskincare.com%2Fcollections%2Fshop-all%2Fproducts%2Fphyto-replenishing-facial-essence-toner), micronutrients like calcium, selenium, iron, and zinc join forces with rose water, chamomile, [licorice root](https://aedit.com/aedition/guide-to-topical-licorice-extract-in-skincare), and probiotic ferment to help calm inflammation and prepare skin for the optimal absorption of whatever products come next in your routine. 

For banishing breakouts, the mineral can be paired with [benzoyl peroxide](https://aedit.com/aedition/guide-to-benzoyl-peroxide-in-skincare) or [salicylic acid](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare) – as found in the [JORI Skincare Daily Leave-On Acne Treatment Mask](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fjoriskincare.com%2Fproducts%2Fleave-on-acne-treatment-mask) and [Bliss Clear Genius Acne Spot Treatment](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Fclear-genius-acne-spot-treatment-pimprod2026998) – for soothing oil and shine control. 

## **The Takeaway** 
If only for its UV-protecting properties, zinc oxide is a skincare stalwart. But this calming mineral also provides soothing benefits that are particularly appreciated by those acne-prone and sensitive skin types. From morning ‘til evening, zinc oxide deserves a spot in your sun care *and* skincare routines. 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Beauty

This gentle antioxidant is known as a sun care stalwart, but did you know it does a lot more? Here’s why the mineral is more than a UV protectant.

Guide To Zinc Oxide In Skincare For Sun Protection, Acne, Inflammation

Read The Label: All Of Your Zinc Oxide Questions Answered

wilhelm-gunkel-iKG7YXopoWQ-unsplash

When it comes to skincare, the face gets a lot of attention. No matter how many steps are in your routine, there’s a good chance you have multiple serums, moisturizers, masks, and more to choose from depending on your skin concerns at any given time. But your skin doesn’t stop at your jawline or even décolleté. The body’s largest organ stretches from head to toe, and it is just as susceptible to dark spots, acne, uneven skin texture, and laxity below the neck as it is above it. That means your [body care routine](https://aedit.com/aedition/best-body-creams-lotions-balms-for-every-skin-concern) should (a) exist and (b) be catered to your skin type.

The best way to curate a body care routine is to treat it like a facial skincare routine and pay attention to the ingredients in the products and the formats that work best for your lifestyle. One class of active ingredients that work just as well for face as they do for body are hydroxy acids (i.e. alpha, beta, and poly). “They are chemical exfoliants that help remove dead skin cells from the top layer of your skin,” explains [Amy Spizuoco, DO](https://aedit.com/provider/amy-spizuoco-19341), a board certified dermatologist and founder of True Dermatology in New York City. “They are great for anyone that wants to get rid of dead skin cells, promote skin radiance, reduce visible sun damage, reduce dryness, smooth skin texture, prevent blemishes, reduce fine lines and wrinkles, and enhance youthful appearance.” Need we say more?

To better understand the benefits of alpha, beta, and polyhydroxy acids for the skin, we’ve tapped top dermatologists and skin experts. Read on for the ultimate guide to hydroxy acids in body care and skincare.

## **What Are Hydroxy Acids?**
Hydroxy acids are part of the family of carboxylic acids. They are considered chemical exfoliants because of their ability to, well, chemically exfoliate the skin. “Chemical exfoliants help dissolve the ‘glue’ that bonds epidermal skin cells together,” says Audrey Kunin, MD, a board certified dermatologist and founder of [DERMAdoctor](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermadoctor.com%2F). “Their use helps lift away dead skin cells, leaving a smooth texture and renewed glow to dry, rough, or bumpy skin.” There are three types of hydroxy acids in skincare. While each has the ability to exfoliate the skin, there are key points of difference. “What differentiates these particles is specifically particle size along with molecular features,” Dr. Kunin shares. Below are the sparknotes: 

1. **Alpha Hydroxy Acids (AHAs)**: AHAs, which include glycolic, lactic, and more, are water-soluble acids “derived from sugary fruits that act as chemical exfoliants,” explains [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), a NYC-based board certified dermatologist. “They remove dead skin cells from the top layer of your skin so that new, more evenly pigmented cells may take their place.” AHAs can help “loosen clogged pores to treat and prevent acne and yield brighter, more youthful-looking skin,” she adds.
2. **Beta Hydroxy Acids (BHAs)**: In skincare, salicylic acid is mainly what we’re referring to when speaking about BHAs. As Dr. Kunin notes, the oil-soluble acid is “often used for [oily and acne-prone skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin), as its smaller size allows it to penetrate more deeply into pores.” 
3. **Polyhydroxy Acids (PHAs)**: PHAs like gluconolactone “tend to be similar to AHAs but are just larger-sized molecules and sit superficially making them tolerable to those with reactive skin as they are less irritating,” says [Natalie Aguilar](https://www.instagram.com/n4skincare/?hl=en), a dermatological nurse and celebrity aesthetician. “PHAs are great for those with dry, sensitive skin with a little pigmentation.” 

If you grew up using physical scrubs to exfoliate, you might be wondering what all the hype around chemical exfoliants – specifically, hydroxy acids – is about. “Unlike your typical gritty exfoliating scrub, AHAs, BHAs, and PHAs offer multiple benefits,” Aguilar explains. For example, [mandelic acid](https://aedit.com/aedition/guide-to-mandelic-acid-in-skincare) is an AHA derived from bitter almonds that “not only gently exfoliates the skin but also evens out skin tone, lightens discoloration, banishes acne scars, and stimulates collagen,” she says. The oil solubility of salicylic acid, meanwhile, means “it penetrates deeper,” is “ideal for deeper cleansing, and is “also a great acne treatment,” she shares.

On their own, these acids can treat an array of skin concerns, but they can be even [better together](https://aedit.com/aedition/best-skincare-ingredient-pairings). “AHAs, BHAs, and PHAs all have their unique benefits but what makes them all so wonderful is that they can be used alone as individual actives or combined to provide more benefits,” Aguilar explains. Dr. Kunin agrees. “A combination of all three family members makes for a superior chemical exfoliant,” she says. Each can also be further customized to treat a specific concern based on its potency ([there are both professional and over-the-counter strengths](https://aedit.com/aedition/difference-between-medical-grade-chemical-peels-at-home-exfoliators)) and product type. “They come in different strengths, so they can be as gentle or as active as one may need them to be, as well as in different products such as cleanser, toners, serums, and moisturizers,” Aguilar adds.

## **AHAs vs. BHAs vs. PHAs**
Now that you have an intro to hydroxy acids, it’s time to dig a little deeper. In a nutshell, “AHAs are great for normal to combination skin types, and BHAs are best for those with oily, acneic, inflammation, sun damaged, and acne-scarred skin, as it penetrates and works deeper than AHAs and PHAs,” Aguilar says. With that in mind, let’s unpack what each of them can do for your skin:

### **Alpha Hydroxy Acids (AHAs)**
![Alpha Hydroxy Acids AHAs Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/4BYd5u2AtBzoSZeCglQ2OK/c10f7dba4a84aa6358b8d476d76bf384/Alpha-Hydroxy-Acids-AHAS-Skincare-Benefits-Infogrpahic.png)
- **The Skinny**: “Alpha hydroxy acids are water-loving acids that exfoliate the outer layer of skin by dissolving the bonds between skin cells,” Aguilar explains. Derived from fruits, nuts, sugars, and milk, “AHAs are considered gentle as they have a large molecular structure that doesn't allow for a deep penetration but rather sits on the surface,” she says.
- **Read the Label**: “The most common AHAs are [glycolic acid](https://aedit.com/aedition/benefits-of-glycolic-acid-for-body), [lactic acid](https://aedit.com/aedition/guide-to-lactic-acid-in-skincare), citric acid, mandelic acid, and benzilic acid,” says Linné Linder, ND, an aesthetic practitioner at [Skin Spirit](https://www.skinspirit.com/expert/linne-linder/). 
- **How They Work**: “Alpha hydroxy acids are used in cosmeceuticals for a variety of clinical endpoints including exfoliation, stimulation of collagen synthesis, improving the elasticity of fibers in the skin, moisturization, and acting as an antioxidant-based preventative measure from photoaging,” Dr. Linder shares. Of all the hydroxy acids, Dr. Spizuoco says AHAs are the “best for anti-aging.” 
- **Ideal Candidate**: “AHAs are generally suitable for all skin types,” Dr. Engelman says. “They may, however, be especially appropriate for those with dry skin, age-related skin concerns, or surface-level concerns like acne or acne scars.” Aguilar agrees: “AHAs are ideal for those with discoloration, fine lines, acne scars, dark spots, and rough texture and are marketed for all skin types.”
- **How to Use**: You can have too much of a good thing. “Since AHAs act as exfoliants, you should incorporate them into your routine slowly,” Dr. Engelman cautions. She recommends using them once a week to start and building up to every other day if, and only if, your skin can handle it. “Sensitive skin may be more receptive to products that have lower levels of AHAs, especially at first,” she says. “Avoid using AHAs too often, as [over-exfoliating](https://aedit.com/aedition/dangers-of-over-exfoliating-the-skin) can lead to irritation and redness.” Aguilar suggests introducing them to your routine at a lower percentage – between four and 15 percent – and increasing from there. 
- Learn more in our [complete guide to alpha hydroxy acids in skincare](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare).

### **Beta Hydroxy Acids (BHAs)**
![Beta Hydroxy Acids BHAs Salicylic Acid Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/TYksPhCwUXED2wTFLckcm/58ab064f98bc7d9ea528bab02bb30d5f/Beta-Hydroxy-Acids-BHAs-Salicylic-Acid-Skincare-Benefits-Infographic.png)
- **The Skinny**: “‘BHA’ stands for beta hydroxy acid and is often derived from willow bark, sweet birch bark, and wintergreen leaves,” Dr. Spizuoco says. “Much like AHAs, BHAs work to exfoliate the surface of the skin, however, they also have soothing properties that work inside the pores.”
- **Read the Label**: “Salicylic acid is the smallest [molecule] and, therefore, can dive deep into the pores of the skin,” Aguilar notes.
- **How They Work**: “While AHAs can only exfoliate the skin's outer surface, a BHA like salicylic acid can go deep into the pores of the skin to dissolve desmosomes – the bond that holds skin cells together,” Aguilar shares. As such, “adding BHAs to a skincare routine can also reduce the rate of skin-cell shedding and help dissolve oil and keratin plugs,” Dr. Spizuoco adds.
- **Ideal Candidate**: “Often used to fight sun damage and acne, BHAs get into the hair follicles and help remove excess oil and dead skin,” Dr. Spizuoco notes. “Because of this, BHAs like salicylic acid work best with combination to oily skin types.” 
- **How to Use**: “Beta hydroxy acids are oil-loving and penetrate deeper, which makes them ideal for acneic, oily, and sun-damaged skin types,” Aguilar notes. Salicylic acid is one of three active ingredients (along with [benzoyl peroxide](https://aedit.com/aedition/guide-to-benzoyl-peroxide-in-skincare) and sulfur) approved by the United States Food and Drug Administration (FDA) for use in [over-the-counter acne products](https://aedit.com/aedition/best-skincare-ingredients-to-treat-acne-blackheads-whiteheads). While they are available in different potencies, “low concentrations of it can help calm sensitive skin,” Dr. Spizuoco adds.
- Learn more in our [complete guide to beta hydroxy acids in skincare](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare).

### **Poly Hydroxy Acids (PHAs)**
![Polyhydroxy Acids PHAs Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/3ekVCaTXCigMs5SQda9OzU/c2d2b348b46d8bbd2bd1d5344d3d0c6c/Polyhydroxy-Acids-PHAs-Skincare-Benefits-Infographic.png)
- **The Skinny**: “Similar to AHAs, polyhydroxy acids are the newest breed,” Aguilar says. “PHAs are larger in size compared to AHAs but share the same benefits making them ideal for those with combination, sensitive, or acneic skin.” 
- **Read the Label**: “The most common polyhydroxy acid is gluconolactone, and the most common polyhydroxy bionic acids include lactobionic acid and maltobionic acid,” Dr. Linder shares.
- **How They Work**: “The larger molecular structures of PHAs do not penetrate the dermis as readily and, therefore, tend to be less irritating and better suited for more sensitive skin types,” Dr. Linder explains. “In addition, PHAs provide more moisturizing and more free-radical scavenging effects, making them extra impactful when it comes to anti-aging versus their AHAs relatives.” Speaking of moisture, gluconolactone also acts as a humectant. “[It’s] able to hold four-times its weight in water compared to hyaluronic acid, meaning it can hold 4,000-times its weight in water,” Dr. Kunin notes. “This positions it with dual benefits – chemical exfoliant and superior hydrating agent.”
- **Ideal Candidate**: Dr. Spizuoco says PHAs are “best for [sensitive skin types](https://aedit.com/aedition/difference-between-sensitive-vs-sensitized-skin)” because the larger molecule size “tends to be milder and contain additional hydrating properties.”
- **How to Use**: The larger molecule size and surface-level penetration of PHAs make them ideal for virtually all skin types — including those with [rosacea](https://aedit.com/concern/rosacea), [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter), and breakouts (though BHAs are usually considered the superior acne fighter). Their mild nature means it's usually okay to pair with [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) and use during the day or post-procedure.
- Learn more in our [complete guide to polyhydroxy acids in skincare](https://aedit.com/aedition/guide-to-topical-polyhydroxy-acids-in-skincare).

## **The Benefits of Hydroxy Acids for Body**
Whether you have a well-established facial skincare routine that contains hydroxy acids or not, Dr. Kunin says it’s important to remember that “good skincare doesn’t stop at the neck.” That’s because, in many ways, skin is skin. “Active acids are great for the face as well as the skin on our bodies as our body skin deals with the same issues as our face,” Aguilar explains. “The skin on our body is also prone to [acne](https://aedit.com/aedition/how-to-treat-prevent-body-acne), irritation, [dryness](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands), wrinkles, and [sun damage](https://aedit.com/aedition/best-skincare-to-treat-sun-damage).” 

In fact, some may make the case that the skin below the neck needs even more TLC. “It is very common for folks to go to great lengths to care for the dermis on the face but neglect the dermis elsewhere on the body,” Dr. Linder laments. “While our face is what we present first to the world, the dermis covers the entire body and requires just as much — and arguably more — care than the face.” Why? “Our body is frequently exposed to environmental elements and pollutants, clothing dyes and chemicals, and washed with harsh soaps and sanitizers,” she explains. “The body is often neglected when it comes to regular exfoliation and, therefore, is left with a rough, uneven texture.” Furthermore, a lack of proper [sun protection](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) leads to “unnecessary wrinkling and discoloration,” she adds. 

For all of these reasons, hydroxy acids can prove beneficial. “Utilizing body washes and body care that have AHAs, PHAs, and BHAs can promote anti-aging benefits where we need them most,” Dr. Linder says. Aguilar agrees that while products formulated for the face are usually the gateway, people “become comfortable using body washes, body toners, and body moisturizers with these multi-correctional acids.”

When choosing which hydroxy acids to include in your skincare or body care routine, the main thing to take into account are your overall skincare goals:

- **For Dullness**: AHAs, PHAs 
- **For Sun Damage**: AHAs, BHAs, PHAs
- **For Acne & Clogged Pores**: BHAs
- **For Rough, Bumpy Skin**: AHAs, BHAs, PHAs 
- **For Added Moisture**: AHAs, PHAs

“Those with dry, crepey, and sun-damaged skin and those with blemishes on their body would benefit most from adding a body product with AHAs, BHAs and/or PHAs, as these acids exfoliate, decrease inflammation, and stimulate collagen renewal,” Aguilar says. This is especially important because “the skin on our bodies has a slower turnover rate than the skin on our face,” she notes. This is why it might feel like it takes forever for [post-acne marks](https://aedit.com/aedition/how-to-treat-acne-induced-post-inflammatory-hyperpigmentation) to fade. “Using body products that contain active acids stimulates the skin on our body to replace older cells with newer healthier cells, which, in turn, help to brighten and correct skin imperfections,” Aguilar adds.

In case you need further convincing, Dr. Spizuoco says [physical exfoliants](https://aedit.com/aedition/body-scrubs-body-moisturizers-for-glowing-skin) simply can’t compare to their chemical counterparts. “Research has made it clear: The best body exfoliant comes in the form of a leave-on AHA or BHA exfoliant,” she shares. “When well-formulated, these exfoliants gently dissolve the bonds holding dead skin to the surface, revealing the fresh, healthy-looking, bump-free skin beneath.” 

## **How to Start Using Hydroxy Acids**
Ready to start incorporating AHAs, BHAs, and/or PHAs into your body care regimen? Here’s what you need to know. “Anyone who lacks a dermatological condition that is hypersensitive (think: rosacea or atopic dermatitis) is a great candidate for body products containing these acids — as long as they are regularly used,” Dr. Linder says. “If you have sensitive skin, you may want to start with a PHAs or BHAs, as the molecular size of these acids is larger and less irritating.” AHAs are the most likely to cause stinging and irritation in sensitive skin types because the small molecular size allows them to penetrate the skin quickly, she adds.

If you are wondering what types of products to look for, Dr. Linder says “body washes and body care with these acids will help to exfoliate and clear dead surface skin cells in the stratum corneum and thus enhance the appearance of fine lines and wrinkles.” But that’s not all. “Acids can support our skin barrier by increasing [ceramide](https://aedit.com/aedition/guide-to-topical-ceramides-in-skincare) activity, help to remodel the dermal matrix of our skin barrier by stimulating [collagen](https://aedit.com/aedition/role-of-collagen-in-the-skin) fibers and improving the quality of elastic fibers… [and] promote a reduction in hyperpigmentation, wrinkles, and crepe-like textures,” she explains. 

If you are dealing with uneven skin texture concerns, Dr. Kunin says hydroxy acid-infused body care is good for anyone experiencing “[keratosis pilaris (KP)](https://aedit.com/aedition/how-to-treat-prevent-dotted-bumpy-strawberry-legs), bikini bumps, ingrown hair, crepey skin, backne, and more.” For “skin from the neck down that is prone to [clogged pores](https://aedit.com/aedition/at-home-treatments-for-clogged-pores), blemishes, redness, or is rough and bumpy,” Dr. Spizuoco says applying “a BHA body exfoliant that contains two percent salicylic acid” once or twice a day is best. 

As with any skincare, sustained use is required to see and maintain the results. “[Clinical human trials](https://jamanetwork.com/journals/jamadermatology/article-abstract/557798) that tested glycolic acid creams on the forearms for over 22 weeks had results worth noting,” Dr. Linder says. “However, these effects were recognized by participants beginning around eight weeks, so regular and long-term use is necessary to see the benefits of hydroxy acids.” The patience does pay off though. The benefits noted in the studies include reduced hyperpigmentation and wrinkling, increased firmness, and improved texture and smoothness.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

The chemical exfoliants can benefit more than just your face.

The Benefits Of Alpha Hydroxy Acids, Beta Hydroxy Acids, And Polyhydroxy Acids For Face And Body

Why You Should Use AHAs, BHAs, And PHAs From Head To Toe

jakob-owens-GyiVBP2uR7I-unsplash

Sun care and skincare should be synonymous at this point. But, if you need a reminder on why protecting your skin from damaging ultraviolet (UV) rays every single day – no matter the weather or season – is a must, we’re here to help. 

For starters, unprotected sun exposure puts you at an increased risk of developing [skin cancer](https://aedit.com/aedition/skin-cancer-facts), which is the most common form of cancer in the United States. It is also the most preventable. Additionally, the [damage](https://aedit.com/aedition/best-skincare-to-treat-sun-damage) from said exposure leads to premature signs of aging (i.e. fine lines, hyperpigmentation, laxity, etc.) and undoes the benefits of many of the in-office treatments and at-home skincare you spend your time and money on. Aside from limiting your time in the sun (and avoiding indoor tanning beds at all costs), the next best prevention and protection is [sunscreen](https://aedit.com/aedition/difference-between-chemical-sunscreen-physical-mineral-sunscreen).

The American Academy of Dermatology (AAD) [recommends](https://www.aad.org/media/stats-sunscreen#) wearing a broad spectrum sunscreen with a minimum sun protection factor (SPF) of 30 on a daily basis. ‘Broad spectrum’ means the formula protects against both UVA and UVB rays – the former causes sun damage, while the latter leads to [sunburns](https://aedit.com/aedition/dermatologist-tips-for-soothing-sunburn). When applying sunscreen as part of a larger beauty routine, put it on after your final skincare step but before any makeup. For lasting protection, it needs to be reapplied every two hours (or sooner, if swimming or sweating). Learn more in our [expert guide to applying sunscreen](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot).

Now that we’ve got that covered, it’s time to find your perfect formula for face and body. Below, we’ve rounded up the most innovative sunscreen launches of 2022 to get you through summer and beyond. Today’s sunscreens are lightweight, easy to apply, and packed with added benefits. Plus, every product on this list is broad spectrum and SPF 30 or higher. Happy shopping!

### **For Brightening**: Wander Beauty Pack Up & Glow Priming SPF 40
![AEDIT-WanderBeauty](//images.ctfassets.net/zw35sfestf1t/1LfyI56qdQthcxBOm5POki/b7dae60e83d3839114c6d36db3607e0e/AEDIT-WanderBeauty.jpg)
This multi-hyphenate promises to simplify your skincare, sun care, and makeup routines. The mineral formula features a uniquely encapsulated non-nano zinc oxide that boosts the UVA- and UVB-blocking benefits without adding extra weight or ashiness. Instead, it’s ultra-light with a flattering peach tone that instantly brightens the complexion. Vitamin D and green tea extract offer antioxidant and anti-inflammatory benefits, while plant-derived [squalane](https://aedit.com/aedition/benefits-of-squalane-for-skin-hair) and hyaluronic acid lock-in moisture. Wear alone or under makeup – it creates a perfect canvas. $36, [wanderbeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.wanderbeauty.com%2Fproducts%2Fpack-up-and-glow) 

### **For Sensitive Skin**: Saint Jane Luxury Sun Ritual Pore Smoothing SPF 30
![SaintJane](//images.ctfassets.net/zw35sfestf1t/33MtVXdCRB5Aufj4Mw5P9I/2f4507ea5594d9afc108b8fa48d81475/SaintJane.jpg)
Inspired by the resilience of flower petals against harsh UV rays and other environmental stressors, this sheer smoothing and soothing formula marries [zinc oxide](https://aedit.com/aedition/guide-to-zinc-oxide-in-skincare) with a bouquet-worthy blend of blooms. Jasmine detoxifies and soothes reactive skin; antioxidant-rich hibiscus boosts collagen production; desert rose acts as both an emollient and humectant to moisturize; and green tea from the camellia sinensis plant visibly calms the complexion. The florals work together to minimize pores, reduce redness, and improve texture. $38, [saintjanebeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fsaintjanebeauty.com%2Fproducts%2Fluxury-sun-ritual)

### **For Multitasking**: Clark’s Botanicals Invisible Hero SPF 30** 
![AEDIT-ClarksBotanicals](//images.ctfassets.net/zw35sfestf1t/1ut6TycducoUGxyBwElwm7/0cbd3c46bc284bc2478b0b27c1145d01/AEDIT-ClarksBotanicals.jpg)
A true triple threat, this trusty tube can take the place of your sunscreen, moisturizer, and primer. The 100 percent mineral formula is about as transparent as a physical sunscreen can be and also boasts blue light protection thanks to sunflower extract. Meanwhile, hydrating hyaluronic acid and micronized [red algae](https://aedit.com/aedition/benefits-of-seaweed-for-skin-hair) instantly plump, and pore-perfecting niacinamide joins forces with redness-reducing arnica to smooth and soothe the skin before makeup. $75, [clarksbotanicals.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fclarksbotanicals.com%2Fcollections%2Fall-products%2Fproducts%2Finvisible-hero-spf-30-anti-aging-sunscreen-with-hyaluronic-acid-broad-spectrum-spf-pa) 

### **For a Tint**: IT Cosmetics Your Skin But Better CC+ Nude Glow with SPF 40
![AEDIT-ITcosmetics](//images.ctfassets.net/zw35sfestf1t/5nYa0SVLzViOEeXCj5ZA4C/d2c5b37ab3e8e0aa062ef801d65b70fa/AEDIT-ITcosmetics.jpg)
Part makeup, part skincare, part sun care, this latest take on the brand's beloved CC cream is all about preventatively, correctively, and protectively tending to the complexion. The patent-pending Brightening Glow Serum complex features niacinamide, hyaluronic acid, green tea extract, and SPF 40 to improve skin tone and texture and protect against damaging UV rays. Available in 22 shades, the medium-coverage skin tint also offers all the color-correcting benefits you expect from a CC cream with a glow-inducing finish. $42, [itcosmetics.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.itcosmetics.com%2Fmakeup%2Fface-makeup%2Fcc-cream%2Fcc-nude-glow-foundation-brightening-glow-serum-spf-40%2FITC_1106.html)   

### **For Minimalists**: Taos AER SPF 30 Broad Spectrum Mineral Sunscreen
![AEDIT-TAOS](//images.ctfassets.net/zw35sfestf1t/6jQUUh7kUG2QJJGIERMAKV/64c7dbe11e673a8104ee63854102ea0a/AEDIT-TAOS.jpg)
Whether you are taking a hike, heading to the beach, or running errands around town, this face and body mineral sunscreen will hold up to whatever you have planned. The non-nano zinc oxide formula features a cocktail of desert plant oils and botanicals to nourish and blend evenly into the skin. Lightweight with a matte finish, there will be no greasy or sticky limbs in sight – though you will no doubt enjoy the subtle-yet-sophisticated sage, cedarwood, bergamot, and vetiver scent. $38, [taosaer.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Ftaosaer.com%2Fproducts%2Fspf-30-broad-spectrum-mineral-sunscreen) 

### **For Acne-Prone Skin**: Banish The Defender SPF 50
![AEDIT-Banish](//images.ctfassets.net/zw35sfestf1t/1iHns8mu6Li4MdkBolS7xK/085ff0a571520201503ec603e558f426/AEDIT-Banish.jpg)
Designed for and tested on acne-prone and sensitive skin, this mineral sunscreen features an organic [aloe vera leaf juice](https://aedit.com/aedition/guide-to-aloe-vera-in-skincare) that allows it to blend easily and absorb instantly. The non-greasy formula also includes soothing vegetable glycerin, collagen-boosting palmitoyl peptides, and antioxidants in the form of vitamin E and passionflower. $49, [banish.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fbanish.com%2Fproducts%2Fthe-defender-spf-50-mineral-sunscreen) 

### **For a Refresh**: Naked Sundays SPF 50+ Hydrating Glow Mist Top Up 
![AEDIT-Naked-Sundays](//images.ctfassets.net/zw35sfestf1t/5yu6Foklhhi4V9C8xemVKa/df43bff67043936a612fd6ec4713c030/AEDIT-Naked-Sundays.jpg)
The Aussie brand arrived stateside just in time for summer, and this multitasking mist has quickly earned a spot in our sun care routines. The ultra-fine, colorless, and broad spectrum spray is packed with hydrating hyaluronic acid and antioxidant-rich kakadu plum and watermelon extract to plump and brighten. Spritz all day to reapply your sunscreen, refresh your makeup, and revive your complexion in one simple, hands-free step. $28, [nakedsundays.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fnakedsundays.com%2Fproducts%2Fspf-50-hydrating-glow-mist-top-up%3Fvariant%3D42027263688962) 

### **For Added Moisture**: Supergoop Daily Dose Hydra-Ceramide Boost + SPF 40 Oil
![AEDIT-Supergoop](//images.ctfassets.net/zw35sfestf1t/6tTvxNPjIPuXGrL3ltKaYc/d80bab8670b7250216645fe7a7e0ba63/AEDIT-Supergoop.jpg)
Dry and dehydrated skin stands no chance against this nourishing sunscreen. In addition to offering broad spectrum SPF 40 protection, the lightweight oil features [ceramides](https://aedit.com/aedition/guide-to-topical-ceramides-in-skincare) to fortify the skin barrier, hyaluronic acid to hydrate, squalane to lock in moisture, and rice germ extract to soothe the skin and combat the effects of blue light. $46, [supergoop.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fsupergoop.com%2Fproducts%2Fdaily-dose-hydra-ceramide-boost-spf-40-oil) 

### **For Blurring**: Peter Thomas Roth Max Clear Invisible Priming Sunscreen SPF 45 
![AEDIT-PeterThomasRoth](//images.ctfassets.net/zw35sfestf1t/6qJgFBPCGUGmsCLgkagmOD/191b207d8f02b055903e77bc69a3bed4/AEDIT-PeterThomasRoth.jpg)
Combine your sun care and primer steps with this blurring gel that goes on invisible (yes, really). In addition to broad spectrum UV protection, [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare), argan oil, bisabolol, and shea butter target uneven skin tone and texture concerns. The fast-absorbing formula dries down to a soft-focus finish, which makes it perfect for layering under makeup. $34, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fpeter-thomas-roth-max-clear-invisible-priming-sunscreen-broad-spectrum-spf-45-P482061) 

### **For Blue Light Protection**: Bloomeffects Tulip Dew Sunscreen Serum SPF 50
![AEDIT-bloomeffects](//images.ctfassets.net/zw35sfestf1t/7DH7JAzwd5oWSbDAHEEjzb/bb6b2f576190a914d59ba6fc22ab07d0/AEDIT-bloomeffects.jpg)
Featuring the brand’s proprietary Dutch Tulip Complex that is created from antioxidant- and amino acid-rich tulips harvested from the founder’s family farm in the Netherlands, this non-nano zinc oxide sunscreen protects against UVA and UVB rays and [blue light](https://aedit.com/aedition/how-to-treat-blue-light-damage). The serum texture blends easily and imparts a lit-from-within-glow, while sodium hyaluronate and a cocktail of topical vitamins – vitamin B3 (a.k.a. niacinamide), vitamin C from kakadu plum, [vitamin D](https://aedit.com/aedition/guide-to-vitamin-d-in-skincare-wellness) from shiitake mushroom, and vitamin E – join forces to hydrate and brighten the complexion. $65, [bloomeffects.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fbloomeffects.com%2Fproducts%2Ftulip-dew-sunscreen-serum) 

### **For Body**: Love Sun Body Sheer Perfection Mineral Body Sunscreen SPF 50
![AEDIT-LoveSunBody](//images.ctfassets.net/zw35sfestf1t/QMUC568ZH4QVLUNm0lqk8/af6ce01fa346009996298e13cde3ce1f/AEDIT-LoveSunBody.jpg)
Body sunscreens often feel like one of those necessary evils that you apply because you have to but certainly not because you want to. This 100 percent natural origin mineral formula is here to change that. Featuring non-nano zinc oxide, non-nano titanium dioxide, shea butter, jojoba esters, sunflower oil, [glycerin](https://aedit.com/aedition/guide-to-glycerin-in-skincare), and vitamin E, it glides on like a body lotion and doesn't require endless rubbing in to absorb. Oh, and it smells sweetly-yet-subtly of vanilla. $28, [lovesunbody.com](https://lovesunbody.com/collections/spf-30-and-spf-50-formulas/products/launching-march-1-sheer-perfection-mineral-body-sunscreen-spf-50-fragrance-free-cosmos-natural?variant=39953877598256) 

### **For Color Correction**: NUDESTIX Nudescreen Daily Mineral Veil SPF 30
![AEDIT-Nudestix](//images.ctfassets.net/zw35sfestf1t/5ImABmuf6m3Ti15S3IijwR/e53bd3590ceb8c24b307753843b8ce09/AEDIT-Nudestix.jpg)
Available in three shades (cool, warm, and hot), this oil-free SPF 30 has a veil-like effect without any unwanted chalkiness. Packed with antioxidant-rich purple tea, green algae, and passionflower extracts, it protects against UVA, UVB, and blue light rays, in addition to moisturizing and smoothing the skin. $35, [ulta.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Fnudescreen-daily-mineral-veil-spf-30-pimprod2031256)

### **For Touch Ups**: BareRepublic Mineral Sunscreen Stick SPF 70
![BareRepublic](//images.ctfassets.net/zw35sfestf1t/2g9PbIkfw8WON5Byk8KvOQ/53d75d1cffdb3028e685be469f81698b/BareRepublic.jpg)
There is no excuse not to touch up with this travel-friendly stick that has a unique teardrop shape for both full-body and targeted application. The non-nano zinc oxide formula goes on without a trace of stickiness and also features moisturizing [shea butter](https://aedit.com/aedition/guide-to-shea-butter-in-skincare), antioxidant-rich raspberry seed extract, and soothing carrot seed extract. $15, [gobareoutside.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fgobareoutside.com%2Fcollections%2Funder-15%2Fproducts%2Fmineral-sunscreen-stick-spf-70) 

### **For Smoothing**: Tatcha The Silk Sunscreen SPF 50
![AEDIT-Tatcha](//images.ctfassets.net/zw35sfestf1t/7lihfHQkL0JayKUpb7oIU7/d777c238135a70f779f056cb5586439e/AEDIT-Tatcha.jpg)
Inspired by the supple hands of Japanese silk workers, this mineral sunscreen features a silk extract that offers a weightless barrier against pollutants, allergens, and moisture loss. Alongside [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare) and hyaluronic acid, it absorbs instantly and visibly tones, smooths, and plumps the skin. In clinical testing, over 90 percent of users saw improved skin tone and texture after two weeks of use. $60, [tatcha.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.tatcha.com%2Fproduct%2Fthe-silk-sunscreen-spf-50%2FCK02010T.html) 

### **For The Whole Family**: Babo Botanicals Daily Sheer Fluid SPF 50
![AEDIT-BaboBotanicals](//images.ctfassets.net/zw35sfestf1t/5ct0HKsdE0n4vmASRAXR6h/57fd87f949e9f3bc27fb5c5b8e791bd9/AEDIT-BaboBotanicals.jpg)
This non-nano zinc oxide mineral formula is gentle enough for the entire family – though you’ll probably want to keep it for yourself. Offering UVA, UVB, and blue light protection (thanks to sweet white lupine), the silicone-free lotion has one of the lightest and most spreadable textures you’ll find from a physical sunscreen, while botanicals like organic raspberry and passionfruit seed oils offer antioxidant, moisturizing, and emollient benefits. $20, [babobotanicals.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.babobotanicals.com%2Fproducts%2Fdaily-sheer-fluid-spf-50) 

### **For Correction & Protection**: StriVectin Advanced Retinol Daily Repair Moisturizer SPF 30
![AEDIT-StriVectin](//images.ctfassets.net/zw35sfestf1t/1r1N3XmE1KoRfUS6Niwx4U/ea7af0d3af359aa3e6d2575775213bcc/AEDIT-StriVectin.jpg)
We always talk about the need to be extra diligent with your sun protection when using vitamin A derivatives (read: [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)), and this sunscreen doubles up those skincare steps. Gentle – and safe – enough for daily daytime use, the formula marries the protective properties of SPF and antioxidants and the soothing powers of the brand’s propriety niacinamide complex with the corrective benefits of retinol to address skin tone, texture, elasticity, and more. $99, [strivectin.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.strivectin.com%2Fdaily-repair-spf) 

### **For Radiant Skin**: Glow Recipe Watermelon Glow Niacinamide Sunscreen SPF 50
![AEDIT-GlowRecipe](//images.ctfassets.net/zw35sfestf1t/3axPB6NNdaJrMcPz25KsSe/80a47ec6a931e00236a16acaed196e5c/AEDIT-GlowRecipe.jpg)
The latest addition to the brand's beloved glow-boosting watermelon range is this hybrid chemical and mineral sunscreen formula. It smells like summer thanks to the signature fruity scent, but the watermelon also offers antioxidant protection. [Hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) adds a dose of hydration, while aloe vera calms the complexion and niacinamide helps even skin tone and texture. $34, [glowrecipe.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.glowrecipe.com%2Fproducts%2Fwatermelon-glow-niacinamide-sunscreen-spf-50) 

### **For City Slickers**: Naturally Serious Mineral Sun Defense Moisturizer SPF 30**
![AEDIT-NaturallySerious](//images.ctfassets.net/zw35sfestf1t/5BMnQfrHLprXKCtU55eQ7S/5e0e6583492d0a691bdc7082311aead1/AEDIT-NaturallySerious.jpg)
This tinted sunscreen-moisturizer hybrid can help streamline your skincare and makeup routine. Zinc oxide and titanium dioxide offer broad spectrum mineral protection, while avocado oil, organ oil, and shea butter condition the complexion. The brand's patented Anti-Pollution Blend, meanwhile, features six antioxidants (including green tea, pomegranate, and goji berry) for additional support against environmental aggressors. $36, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fmineral-sun-defense-moisturizer-broad-spectrum-spf-30-P500160)  

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Wellness

Just in time for summer, we’re rounding up the best new creams, lotions, sticks, and more for face and body.

The Best New Sunscreens Of 2022 For Face And Body

The 18 Most Innovative Sunscreens Of 2022

joel-muniz-fLhghqC2Jp4-unsplash

If ever there was a beauty, skincare, and wellness buzzword that stands the test of time, ‘[collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine)’ would be it. You’ll be hard pressed to research anything related to skin health or aging without coming across the term. When it comes to plump, youthful skin, we know collagen is good and a lack of collagen is not. What’s often left out of conversations about collagen, however, is a deeper exploration of exactly what it is, how it’s produced, and the effect it has on skin quality.

Simply put, collagen gives the skin its structure and natural collagen levels start dropping pretty early in life (think: [mid-twenties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-20s)). But all is not lost. There are steps that can be taken to slow the declines and even stimulate new collagen production. Intrigued? Here, top dermatologists and nutritionists break down everything we need to know about the beautifying protein.

## **What Is Collagen?**
Collagen is a protein that is naturally found in the human body. “It is a protein produced by the body that makes up something we call connective tissues,” says [Angela Lamb, MD](https://aedit.com/provider/angela-lamb-md-34643), a board certified dermatologist in New York City. “You can also consume collagen through external sources.” Aside from water and fat, the body is mainly made up of proteins – and collagen is the most ubiquitous of them. 

There are different types of collagen, but type I makes up roughly 90 percent of the collagen in the human body. It is a vital component in bones, muscles, cartilage, and, yes, skin. “Collagen is a structural protein that provides rigidity and firmness to the skin,” says [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a NYC-based board certified dermatologist. 

Basically, collagen is an essential building block of healthy skin. “Collagen is the main component of the skin – in fact, 80 percent of our skin is formed from collagen,” explains [Jennifer Hanway](https://jenniferhanway.com/), a board certified holistic nutritionist. “It is found in the extracellular matrix of the skin, so it plays a pivotal role in the skin's structure and rigidity.” Said another way: “It really is the framework that keeps our skin supple, firm, and lifted,” she adds.

## **What’s the Relationship Between Collagen & Skin?**
“The main role of collagen in the skin is to give it elasticity, bounce, and stretch,” Dr. Lamb says. That’s a lot of responsibility, which is why we’re sorry to say that, once you reach your mid- to late-twenties, natural collagen levels start declining at the rate of about one percent a year. “From the age of around 25, both the types of collagen and the amount of collagen in the skin begins to decrease, leading to dryer, thinning skin,” Hanways shares. Hormonal changes (think: [menopause](https://aedit.com/aedition/cosmetic-procedures-skincare-for-women-in-menopause)) and external forces (i.e. sun exposure, [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health), poor diet, etc.) can speed up the degredation process. “Poor diet, environmental factors, and [stress](https://aedit.com/aedition/impact-of-stress-on-skin-acne-wrinkles-dryness) can all negatively affect the quality and integrity of collagen in the skin,” she says. 

Changes in the quality and quantity of collagen correlate to changes in the skin. “With the loss of collagen, the skin sags and develops the [fine lines and wrinkles](https://aedit.com/concern/fine-lineswrinkles) we associate with age,” Dr. Camp notes. The reason? “Collagen constitutes a large portion of the dermis, one of the layers of skin,” he explains. “Think of it like scaffolding off which other skin structures are supported.” The webbing of collagen, elastin, and [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) found in the dermis that makes the skin supple, sculpted, and supported in our younger years, breaks down as we get older and aging fibroblasts (the makers of collagen and elastin) can’t produce enough to offset the loss.

![Aging Skin vs Younger Skin Cross Section Illustration](//images.ctfassets.net/zw35sfestf1t/73J5weI4xxCbfEVQnowdc5/7eb132f953c98475752ebb2dcd4b0bae/aging-skin-vs-younger-skin-cross-section-illustration.jpg)

It’s not uncommon to first notice these changes on naturally fuller areas of the face, like the [cheeks](https://aedit.com/concern/cheek-volume). Then, you may find that the area around your eyes starts to look a little less plump. As for the rest of your body, the texture of your hair could start to change, your nails might become more brittle, and you may find you begin to experience joint pain or a loss of muscle mass.

To put a finer point on the timing, collagen production peaks in the [twenties](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-20s) and starts decreasing at that annual one percent rate by the mid to latter part of the decade. For females, that continues until [menopause](https://aedit.com/aedition/menopause-specific-beauty-skincare-hair-products), at which point collagen levels have a significant falloff. There is an estimated 30 percent drop in collagen during that phase, before stabilizing to a two percent yearly decline thereafter. 

## **Where Does Collagen Come From?**
As we've been talking about, the body makes its own collagen proteins. Fibroblasts are the cells in the connective tissues that produce collagen and elastin. Your body is constantly replenishing its natural supply to counteract the breakdown that occurs. When we are young and healthy, more collagen is created than lost – hence your firm, elastic, and resilient skin that bounces back quickly and efficiently heals itself. But, with age, that scale tips in the other direction as fibroblast activity slows. 

In order for the body to function optimally and produce collagen in the first place, it requires [proper nutrition](https://aedit.com/aedition/how-food-impacts-skin-aging). “All of the foods that we eat are broken down and absorbed through the process of digestion, then used for cellular growth and repair throughout the body,” Hanway explains. “Collagen is formed via multiple processes that need specific amino acids – the building blocks of protein – combined with vitamin and mineral cofactors.”

While Hanways says the nutrients from a diet high in amino acids, vitamins, and minerals promote collagen repair and growth, the opposite is also true. “If a person’s diet is lacking in these foods, then collagen repair and growth will be compromised,” she notes. But it’s not just what you aren’t eating that will negatively impact collagen production. “A diet high in [sugar](https://aedit.com/aedition/the-impact-of-candy-sugar-sweets-on-teeth-and-skin) and refined carbohydrates can actually damage collagen and elastin fibers in the skin via a process called glycation that can cause premature aging, fine lines, and wrinkles,” she cautions.

And then there is collagen supplementation. You’ve no doubt seen plenty of collagen powders and capsules promising to rejuvenate the skin. Research [shows](https://www.mdpi.com/2072-6643/11/10/2494) that collagen supplements can improve skin hydration, elasticity, texture, and density, but not all products are created equal (more on that below). 

## **How Can You Boost Collagen Levels?**
Just because your body's natural collagen levels decline over time doesn't mean there aren't ways to kickstart production. Eating a well-balanced diet, taking collagen supplements, adopting healthy lifestyle habits, and even trying certain skincare and aesthetic treatments can stimulate collagen production. 

### **1. Diet**
You are what you eat. To build collagen, the body makes procollagen from amino acids (i.e. glycine and proline), vitamin C, and minerals. Consuming a [diet](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin) that is rich in these nutrients will give the body the fuel it needs to create natural collagen.

### **Eat This**
- **For Amino Acids**: Animal & fish protein
- **For Vitamin C**: Guava, kiwi, citrus, berries, leafy greens
- **For Minerals**: Oysters, cashews, sesame seeds, almonds

“Diets that contain animal and fish proteins can help collagen production, as they contain the specific amino acids that the body uses to form new collagen,” Hanway explains. “Adding protein-rich foods into our diets provides us with the raw materials necessary for collagen production.” She recommends “high quality animal proteins,” such as organic chicken, grass-fed beef, and wild-caught salmon. Bone broth is also “a great source of dietary collagen” that can be used for sipping or added to sauces, she notes. 

As Hanway explains, [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) is an essential cofactor in the formation and stabilization of new collagen, so foods rich in the antioxidant vitamin are essential. “Guava and kiwi are the two fruits that are highest in vitamin C, but other citrus fruits, berries, and leafy greens are also great sources,” she says. Additionally, “copper, manganese, and zinc are the three minerals that play a key factor in collagen production,” she shares. They are, however, “often lacking in our modern-day diets,” she cautions. To up your intake, she suggests adding oysters, cashews, sesame seeds, and almonds to the menu.

While feeding your body what it needs to build collagen is paramount, there are also foods you can add to your diet to fortify your collagen reserves. “Fermented foods such as tempeh, yogurt, sauerkraut, and kombucha contain lactobacillus, a strain of probiotic bacteria that produces superoxide dismutase,” Hanway says. “Superoxide dismutase is a powerful antioxidant that may prevent collagen breakdown by reducing the production of free radicals.” Her advice: “Aim for one serving of fermented foods a day and consider supplementing with a good quality probiotic.” 

### **2. Supplements**
When we talk about [supplements for skin](https://aedit.com/aedition/how-dietary-supplements-can-benefit-the-skin), collagen is almost always part of the conversation. “I’ve supplemented with collagen powder for years and I recommend it to all my clients who want to look after their skin from the inside out,” Hanway shares. Clinical [research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7070905/) and [trials](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073484/) have shown that collagen supplements can support skin elasticity, minimize the appearance of fine lines, and boost moisture levels in the skin. “While even I was skeptical at first, there is strong research to support this,” Dr. Lamb says. “It is exciting.”

With that said, the type of supplement matters. “Hydrolyzed collagen is composed of low molecular weight small peptides, which means it is both highly digestible and easily absorbed and distributed in the human body,” Hanway explains. “When taken orally, it is absorbed into the bloodstream in the form of both collagen peptides and free amino acids that are then distributed around the body – especially to the skin – where they can stay for up to 14 days.”

When they reach the skin, Hanways says the collagen peptides and free amino acids have a two-fold benefit:

1. They provide building blocks for the formation of collagen fibers.
2. They stimulate the production of new collagen, elastin, and hyaluronic acid. 

In order to enjoy the benefits of supplementation, it needs to come from the correct source. “I recommend choosing marine collagen from wild caught fish or bovine collagen from grass fed cows,” Hanway says. Collagen only exists in the animal kingdom, which means the concept of ‘vegan collagen’ is a little misleading. “There is no such thing as vegan collagen,” she notes. “Collagen powder is made from the skin or connective tissue of fish and animals.” If a supplement is marketed as vegan, it's probably better classified as a collagen booster and will likely contain ingredients like amino acids, vitamin C, [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare), and other botanicals that protect against collagen degradation. “There are some supplements available that contain the cofactors for collagen formation that may be helpful,” Hanway says.

When it comes to format, Hanway recommends a collagen powder over a collagen capsule because of the clinically significant serving size. “It takes around 10 grams a day to notice changes in the skin, and that amount is hard to get via a capsule,” she says.

As with any type of supplement, not all are created equal. “The conclusions behind research looking at collagen supplements are a mixed bag,” Dr. Camp cautions. “Some data supports the use of supplements, some does not, and some is biased as the makers of supplements produce it.” This is why research into the brand you are purchasing from is key. 

### **3. Lifestyle**
We don’t need to tell you that your lifestyle plays a role in the overall quality of your skin, and collagen is no exception. Unprotected exposure to [damaging ultraviolet (UV) rays](https://aedit.com/aedition/best-skincare-to-treat-sun-damage), poor sleep hygiene, smoking, not eating well, and stress can all cause the premature breakdown of collagen. When you are in your peak collagen-making years, you might not notice the effects of an all-nighter or sweet tooth, but, as natural production slows, the effects will become visible and compound. As such, there are some healthy habits you can adopt to kickstart your body's natural collagen production *and* protect what you already have:

- Get enough sleep
- Limit sun exposure 
- Manage stress
- Quit smoking
- Eat a well-balanced diet
- Avoid sugar & alcohol 
- Use collagen-stimulating skincare 

### **4. Skincare**
You can’t have a conversation about inducing collagen production without talking about aesthetics and skincare. Let’s start with what you can do in-office. On the most non-invasive end of the spectrum, [red light therapy](https://aedit.com/procedure/led-light-therapy) has been [clinically shown](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3926176/) to improve intradermal collagen density. [Sculptra®](https://aedit.com/procedure/sculptra) is a poly-L-lactic acid (PLLA) bio-stimulatory injectable that encourages the body to create new collagen, and Dr. Lamb says [hyaluronic acid-based fillers](https://aedit.com/aedition/hyaluronic-acid-filler-vs-biostimulatory-injectables) can jumpstart production as well. 

### **Aesthetic Treatments**
- Biostimulatory injectables
- Thread lifts
- Microneedling
- Red light therapy
- Resurfacing lasers
- Radiofrequency

[Thread lifts](https://aedit.com/procedure/thread-lift) are also touted for their collagen-boosting abilities, as is [microneedling](https://aedit.com/procedure/microneedling) (a.k.a. collagen induction therapy). Studies [show](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556180/) the tiny needles penetrate the stratum corneum with minimal damage to the epidermis, though it leads to the generation of growth factors that then stimulate the production of collagen and elastin in the papillary layer of the dermis. And then there are energy-based modalities. “Most [resurfacing lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) and [radiofrequency devices](https://aedit.com/aedition/radiofrequency-skin-tighening-fat-reduction) stimulate collagen,” Dr. Lamb says. Consulting with a board certified dermatologist or plastic surgeon can help determine the best treatment plan for your anatomy.

Topical skincare can also play a role in collagen production. As Dr. Lamb shares, [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) are perhaps best known active ingredients for collagen concerns. [Bakuchiol](https://aedit.com/aedition/guide-to-bakuchiol-in-skincare) is often touted as a gentler, plant-based alternative to the vitamin A derivatives, and [research](https://pubmed.ncbi.nlm.nih.gov/24471735/) shows it doesn’t skimp on the collagen upregulating benefits. 

### **Skincare Ingredients**
- Retinol & retinoids 
- Bakuchiol
- Glycolic acid
- Peptides
- Vitamin C
- Sunscreen

A member of the alpha hydroxy acid (AHA) family, [glycolic acid](https://aedit.com/aedition/benefits-of-glycolic-acid-for-body) is [believed](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891644/) to increase collagen production by triggering the body’s natural healing response. [Vitamin C](https://aedit.com/aedition/facts-about-vitamin-c-in-skincare) is instrumental to collagen making and preserving in all forms, but, as a topical, the antioxidant [plays a part](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547010/) in collagen synthesis and stabilization. Additionally, certain types of [peptides](https://aedit.com/aedition/guide-to-topical-peptides-in-skincare) can either slow the breakdown or increase the supply of collagen and elastin.

Finally, a word on [sunscreen](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body). In case you need another reason to double down on your sun care routine, unprotected exposure to UV rays speeds up the degradation of collagen. Wear a broad spectrum sunscreen with a sun protection factor (SPF) of at least 30 every day as a first line of defense.

## **The Takeaway**
Collagen is a protein that plays a crucial role in the body's makeup, including the structure of the skin. With age, natural collagen production slows and levels begin to decline, which leads to fine lines and wrinkles, thinning, dryness, and volume loss. From diet to supplements to at-home and in-office skincare, however, there are steps you can take to stimulate collagen for smoother, stronger, and more supple skin.

A deep dive into the structural protein that keeps skin supple, sculpted, and supported.

The Role Of Collagen In The Skin

Everything You Need To Know About Collagen And The Skin

vicky-hladynets-rT4u9lr7LLg-unsplash

Plastic surgery is a big business. The American Society of Plastic Surgeon’s (ASPS) [annual report](https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf) found that some $20 billion was spent in 2020, with 15.6 million cosmetic procedures and nearly 7 million reconstructive procedures performed. When we speak about the cosmetic end of the spectrum, we are usually dealing with out-of-pocket expenses because the treatments are generally considered elective and not medically necessary. When we talk about the reconstructive side of the industry, however, [health insurance coverage](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures) may come into play.

In June 1989, the American Medical Association (AMA) adopted definitions of ‘cosmetic surgery’ and ‘reconstructive surgery’ that are used by insurance providers to determine coverage:

- **Cosmetic Surgery**: Performed to reshape normal structures of the body in order to improve the patient’s appearance and self-esteem.
- **Reconstructive Surgery**: Performed on abnormal structures of the body, caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease.

If you clicked on this article, it’s probably because you are considering a breast surgery of some kind. So, what does the ‘cosmetic’ versus ‘reconstructive’ distinction mean to you? If you are simply looking to up your cup size, you can pretty much count on paying for your [breast augmentation](https://aedit.com/procedure/breast-augmentation-solutions) yourself. But there are certain reasons why breast implants and other enhancement procedures may fall into the ‘reconstructive’ category. Additionally, [breast reduction](https://aedit.com/procedure/breast-reduction-and-revision-solutions) is one of the most common procedures insurance might cover.

To better understand what factors into whether or not a [breast surgery](https://aedit.com/concern/breast-shape-and-size) is covered by insurance, we’re breaking down some of the key criteria you need to know to make your case.

## **Why Breast Surgery May Be Covered By Insurance**
The fact of the matter is that there are no guarantees when it comes to insurance coverage. “Nobody knows what will qualify, as there are no guidelines that say, ‘if you have this, you qualify,” says [Richard J. Brown, MD](https://www.richardjbrownmd.com/), a board certified plastic and reconstructive surgeon in Scottsdale, AZ. “It is totally at the discretion of the insurance company.” Even so, there are some circumstances that, with proper documentation, may mean a procedure is eligible for coverage.

### **1. Post-Mastectomy Reconstruction**
Perhaps the most straightforward situation on the list, the 1998 [Women’s Health and Cancer Rights Act](https://www.cancer.org/treatment/finding-and-paying-for-treatment/health-insurance-laws/womens-health-and-cancer-rights-act.html) mandated that group health plans that cover [mastectomy](https://aedit.com/aedition/what-to-expect-before-during-after-mastectomy-breast-cancer) (for both breast cancer prevention and treatment) must also cover [breast reconstruction](https://aedit.com/aedition/comprehensive-guide-to-breast-reconstruction-nipple-reconstruction-after-breast-cancer). It should be noted that Medicare covers bilateral breast reconstruction in post-mastectomy patients, too. Reconstruction can be performed in a variety of ways depending on the anatomy and aesthetic goals of the patient, and prostheses (i.e. [breast implants](https://aedit.com/procedure/breast-augmentation-with-implants)) are an option. Whether it is a unilateral or bilateral mastectomy, insurance providers must cover reconstruction for both breasts. 

In these cases, surgeons do not need to document symptoms or trials of alternative treatment. “For breast cancer, I do not have to document, as they already have a diagnosis,” Dr. Brown explains. “If it is for revision reconstruction, I document what I feel I can do to make the reconstruction better, if that is possible.”  

### **2. Shoulder, Neck, & Back Pain**
Anyone that suffers from back, neck, or shoulder pain knows just how debilitating it can be. Whether the pain is attributed to injury, [poor posture](https://aedit.com/aedition/how-to-improve-your-posture), or breast size, treating the pain can be a challenge. This is especially true if the discomfort is caused by a large chest. [Research](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3322448/) has found a correlation between breast size and chronic back pain, and it is believed it may have to do with the curvature of the spine due to the weight of the breasts. As a result, insurance companies may cover a breast reduction to improve quality of life. 

### **3. Inability to Exercise**
Exercising is challenging enough as is, but, for some women, it is made even more difficult by large breasts. As you move, so do your breasts and that can be very painful while doing high intensity – or even low intensity – workouts. Finding sports bras that are supportive and containing enough may not be possible, with some even doubling up on them. Some women with large breasts are not able to get the health benefits associated with fitness, which can help create the case for a medically necessary breast reduction.  

### **4. Significant Asymmetries**
From head to toe, [asymmetry](https://aedit.com/aedition/cosmetic-procedures-for-body-asymmetries) is inevitable. No body – literally or figuratively – is perfect, and most females find that their breasts are uneven. For the large majority of people, correcting breast asymmetry is not a medical necessity. But for certain cases of asymmetry as a result of trauma, disease, infection, tumors, or genetic conditions that cause large size discrepancies, there may be a conversation to be had with your insurance company. 

### **5. Rashes** 
Chronic rashes under the breasts can be a reason for insurance to cover a reduction surgery. Because large breasts often droop and cover other areas of the chest, it can cause skin-to-skin friction (intertrigo) and/or make it difficult for sweat to evaporate. In normal circumstances, sweat produced in the inframammary fold (i.e. the breast crease) evaporates on its own, but, for women with larger breasts, the damp environment can cause irritation and rashes. 

### **6. Bra Strap Grooves**
Ever notice indentations on your shoulders when taking off your bra at the end of the day? It’s usually a sign that the undergarment was overburdened or ill-fitting. While this nuisance is usually a once-in-a-while thing for most, some bigger-busted ladies have permanent grooves from their bra straps because the breasts are simply too heavy to be properly supported. Alone, these markings may not be enough of a reason to warrant a reduction, but they can be supporting evidence (pun intended) when building a case. 

### **7. Headaches**
Can large breasts be headache-inducing? According to [research](https://pubmed.ncbi.nlm.nih.gov/20048598/), the answer is yes. Studies show a link between chronic headaches and macromastia (large breasts), and women who previously suffered from headaches or migraines reported improved wellbeing post-breast reduction. The exact connection between the two isn’t fully understood, but it is believed that the weight of the breasts can be a stressor to the muscles in the head, just like in the back, neck, and shoulders. 

### **8. Faulty Breast Implants**
Just as insurance companies will cover breast implants for mastectomy patients, they may cover the removal of said implants if it is determined to be medically necessary to do so. ‘Medically necessary’ reasons can include: 

- Implant rupture
- Severe [capsular contracture](https://aedit.com/aedition/capsular-contracture-breast-implants)
- Infection
- Chronic breast pain
- Breast implant-associated anaplastic large cell lymphoma ([BIA-ALCL](https://aedit.com/aedition/heres-what-you-need-to-know-about-the-allergan-breast-implant-recall))

Even for reconstruction patients, coverage for [breast implant removal](https://aedit.com/procedure/breast-implant-removal) or [replacement](https://aedit.com/aedition/guide-to-replacing-breast-implants) is not a given. “Beyond initial reconstruction, insurance is not obligated to cover any breast reconstruction revisions,” Dr. Brown shares. But “the fact of the matter is they pretty much cover it all,” he adds. With that said, insurance companies rarely, if ever, cover revision if the primary surgery was for cosmetic purposes.

## **How to Build a Case for Insurance**
So, how do you get insurance to cover your breast surgery? The reality of the situation is that it takes time and patience. With the exception of post-mastectomy breast reconstruction patients, evidence must be submitted to your insurance provider and pre-authorization must be gained before moving forward with the procedure. Insurance companies aren’t going to just pay for anyone’s breast surgery. In the case of [reduction mammaplasty](https://aedit.com/aedition/best-questions-to-ask-before-a-breast-reduction) (a.k.a. breast reduction), you need documentation that demonstrates why you need the procedure, including some or all of the following:

- **Photography**: Standardized photography of the breasts taken by a medical professional is usually required to visualize the breast hypertrophy, or overgrowth of breast tissue.
- **Symptoms**: Chronic symptoms, like many of those listed above, must be experienced for at least six months (though usually a year or more) before building a case.
- **Alternative Treatment**: Proof of unsuccessful non-surgical treatments, including visits to a physical therapist, chiropractor, or orthopedist, supervised weight loss, or the inability for rashes or other skin conditions to be cleared up by a dermatologist, must be submitted.
- **Surgical Plan**: Your board certified plastic surgeon will need to share the approximate amount of tissue they plan to remove from each breast based on your weight and height. Insurance companies have specific parameters for how much needs to be excised in order for the reduction to be considered medically necessary.
- **Surgeon’s Statement**: Additionally, your medical team will need to share their opinion on why your symptoms are best treated with breast reduction surgery.

Not all health insurance companies will require all of these criteria be met, but, according to a [2020 paper](https://journals.lww.com/plasreconsurg/Abstract/2020/08000/Insurance_Denials_in_Reduction_Mammaplasty__How.6.aspx) published in *Plastic and Reconstructive Surgery*, pre-authorization denial rates for breast reduction surgery have increased steadily over the last five years. The researchers note that the factors for precertification “are used arbitrarily, without scientific evidence, and are inconsistent with clinical practice,” making it difficult for patients and providers alike. 

These discrepancies are why Dr. Brown always tries to manage expectations. As he explains, “neck pain, back pain, bra strap grooves, headaches, rashes under the breast, [and] inability to exercise because they need several bras” are all legitimate reasons to consider breast reduction surgery, but these symptoms “do not guarantee” coverage by insurance. “They still can be denied,” he shares. “And often insurance wants proof of PT [physical therapy] and OT [occupational therapy] to avoid surgery.”

Needless to say, building a case for preauthorization isn’t something you do on your own. Your primary care physician, PT or OT specialists, and board certified plastic and reconstructive surgeon will all be part of the process. Dr. Brown’s approach? “I just tell the story,” he notes. “I describe the symptoms, and what is going on, and make comments on whether I feel it is medically necessary or not.” 

In addition to the symptoms described above, insurance providers usually use the controversial [Schnur Sliding Scale](https://pubmed.ncbi.nlm.nih.gov/30557179/) to calculate how much breast tissue should be removed. “[It] is a formula that based on height, weight, and other factors predicts how much they should have removed, and it is so imperfect,” Dr. Brown cautions. “They use that against how much the surgeon says they think they can remove, and, if those numbers are off by too much, they may deny.”  Some insurance companies will also require the surgeon performing the procedure is in-network, so be sure to clear that up early on.

### **Next Steps**
If your breast reduction case gets approved, insurance will cover the cost of the surgery – with some stipulations. You will need a post-operative report that shows the procedure was carried out in accordance with the pre-authorized plan. That includes being operated on by an in-network surgeon at an accredited facility (usually a hospital) and having the mandatory amount of tissue removed. 

## **The Takeaway**
Unfortunately, there are no ‘sure things’ in insurance, but there are steps you can take to improve your chances of coverage. In addition to careful documentation, one of the best things prospective patients can do is work with a board certified plastic surgeon who specializes in the procedure they are interested in. They will likely have a lot of experience navigating the pre-authorization process, and they should also be expert in delivering the most medically and cosmetically pleasing result for your anatomy and aesthetic goals.

From breast reduction to post-mastectomy reconstruction, here’s what you need to know.

A Guide To Insurance Coverage For Breast Reduction And Breast Reconstruction

Thinking About Breast Surgery? Insurance Might Cover It

brian-asare-RxVfMN7xyno-unsplash

It goes without saying that looking at a photograph is not the same as seeing something in real life. A two-dimensional snapshot simply cannot capture the nuance of a three-dimensional world, yet selfie and [social media culture](https://aedit.com/aedition/march-2020-study-shows-relationship-between-social-media-cosmetic-surgery) too often fails to respect that important distinction. Whether it’s through makeup, lighting, or face tuning apps, the photos that fill our feeds are not necessarily indicative of reality. But, increasingly, people are turning to cosmetic treatments to recreate a specific aesthetic that might look great in a picture but doesn’t translate to a natural-looking appearance in person because it lacks the movement and expression we expect to see. This is where an additional dimension of beauty – one that accounts for life in 2D *and* 3D – comes into play.

Recently, we hosted an Instagram Live with [Julius Few, MD](https://aedit.com/provider/julius-few-md-15580), a board certified plastic and reconstructive surgeon in Chicago and creator of [Aforé Beauty](https://www.aforebeauty.com/), to learn more about his concept of “four-dimensional beauty” and how it influences his approach to aesthetic medicine to achieve the most natural and holistic results for his patients. Watch the entire conversation below or read on for a breakdown of five key takeaways.

<a href="https://www.youtube.com/watch?v=6QcFwi8ptxQ" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.youtube.com/watch?v=6QcFwi8ptxQ</a>

## **1. Defining Four-Dimensional Beauty**
Dr. Few has been in practice for over two decades. While the original outpost of [The Few Institute](https://www.fewinstitute.com/) is in Chicago, he has a satellite office in Los Angeles where he tends to some very famous faces. As he explains, treating public figures has taught him a lot about our understanding and perception of attractiveness. “One of the things that struck me was how I could see a household-name celebrity, who, in a photograph or in a movie, looked a certain way and by all accounts was attractive,” he shares. “But you saw them in person and they went to even a more dramatic and more appealing level.” 

It’s that dichotomy between what he calls the “in-person encounter” and the “print version” that led him to formalize the idea of four-dimensional beauty. “What that represents is the concept that we deal with the three dimensions we all know – length, width, and distance – and the fourth dimension is time and moments in time,” he explains. “We're not talking about days, hours, minutes – we're talking about microseconds of movement and what is communicated both in terms of verbal and non-verbal communication.” 

While there are extreme examples of people overdoing it, even just a little too much filler or neurotoxin can look off if it impacts the natural movement of the face, he says. “That really is what four-dimensional beauty represents – that transition from moment to moment in interpersonal interaction that can either make or break a moment,” he shares. 

## **2. Photo vs. Video**
Even if your in-person schedule is not quite back to pre-pandemic strength, days spent in Zoom meetings, scrolling through TikTok, or rolling your eyes at Instagram’s ever-conspicuous push for video content are a reminder that we do, in fact, live in a three-dimensional world. The best way to look your best IRL is to consider how the result of whatever you are having done is going to impact your features and expressions. 

Dr. Few says the onus is on the provider to properly assess the patient. “Probably the most important thing that any cosmetic plastic surgeon, dermatologist, or provider of any kind really needs to hone in on is the idea that you have to look at animation during that in-office visit,” he shares. One way to educate the patient and further drive home the point is by supplementing traditional [before and after photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) with video. “I've started to incorporate more and more videography into the assessment, so I can show people,” he says. “I do believe that's going to become the norm in many ways.” 

With the ability to put a smartphone with a 4K camera into the palm of anyone’s hand, all providers need to do is standardize their lighting setup and positioning (à la traditional B&A photos). Dr. Few and his team recently [published a study](https://academic.oup.com/asjopenforum/article/doi/10.1093/asjof/ojac002/6515787?login=false) in the *Aesthetic Society Journal* based on the clinical results of using the [Aforé Beauty CR Emulsion](https://www.aforebeauty.com/products/cr-emulsion) – a serum that blends 0.2 percent retinol, [cannabidiol (CBD)](https://aedit.com/aedition/cbd-beauty-skincare-wellness-benefits), peptides, and hyaluronic acid to improve skin tone, texture, and hydration – that included a dynamic video component. “It gave us a platform to develop the videography assessment tool, which is in its infancy,” he says. “We're still working on it in terms of validating and putting it together, but we're well on our way.”

Long term, Dr. Few sees video as “a great equalizer” that will foster transparency. “There will be more and more of a demand for influencers and the like on social media to have videography versus a static picture,” he notes. “What different people got away with just because they had a great 2D picture, that's not going to be good enough.”

## **3. The Rise of Prejuvenation**
It’s usually easier to prevent something than correct it, and that is certainly true of age-related skin and aesthetic concerns. There is a lot to be said about rejuvenating procedures, but, in the last decade, the conversation has expanded to include the idea of ‘[prejuvenation](https://aedit.com/aedition/i-was-practicing-prejuvenation-before-it-was-a-trend)’ (i.e. preventative treatment). “I kind of came up with that term ‘prejuvenation’ at a multi-specialty meeting probably 10 or 11 years ago,” Dr. Few shares. “The whole concept came up during a panel because, at that time, I was just starting to really kick into taking care of a lot of models and actors, and that group really was keen on the idea of avoiding the knife.” Instead, they were interested in less invasive solutions that they could start earlier in life to potentially delay or eliminate the need for more invasive measures down the line. 

But it’s not just celebrities who want to get ahead. Dr. Few says he has long had patients who are predisposed to deeper frown lines or have a family history of jowling and want to address them as early as possible. “You can preempt that whole phenomenon just by simply targeting that area when it first starts to form, and then you hold it in suspended animation,” he explains, adding that it’s not about stopping the clock or dramatically altering someone’s appearance. “I believe if you try to take that given point where things are transitioning in maybe not the most positive way and hold it, well then that’s mission accomplished,” he says. “You've now made somebody achieve their goal of looking naturally beautiful and aging in the most graceful way, which, in my opinion, is the way to go.” 

Returning to those four dimensions of beauty, it’s all about enhancing what is already there in the most natural way. “It's not about aging ungracefully or in any artificial way or even not aging at all,” Dr. Few explains. “To me, where the artistry of cosmetic medicine and surgery comes through is in creating subtle contrast.” For example, “you have somebody who maybe has gray hair but, at the same time, has a youthful kind of very subtle cuteness that shines through,” he says. “That's their own individual expression.”

## **4. Blending Surgical & Non-Surgical Solutions**
Just because Dr. Few is a plastic surgeon doesn’t mean that every patient of his is going under the knife. “I am somebody who's kind of formed an expertise in both the surgical and non-surgical space – especially for facial rejuvenation and prejuvenation,” he says. In his view, it’s not so much surgical versus non-surgical but rather a continuum. “I try to position things in a way so that if somebody is not sure which direction they want to go, it's easier to do something that's a bit more temporary – that's non-surgical – that then can lead into a surgical option if that's what they want,” he explains.

Generally speaking, prospective patients fall into three categories: 

1. I definitely want surgery.
2. I definitely don’t want surgery – regardless of what I need.
3. I’m undecided and want to know my options.

After determining which bucket someone falls into, there are a trio of factors Dr. Few considers during a consultation to formulate a treatment plan: skin quality, volume loss, and facial laxity. “When you look at those three components, then I get to go into my toolbox and decide what are the options that work for it,” he shares. “For the skin, it may be different forms of resurfacing lasers, peels, etc., and then you look at non-surgical versus surgical lifting.” Seeing as he remembers the days when [Restylane®](https://aedit.com/procedure/restylane) was only one hyaluronic acid-based filler on the market, today’s innovation – especially in the non-surgical space – means there are now “more options than you could even hope to use.” As such, “it becomes much like picking the right paint brush for the component of the canvas you're painting on,” he says.

Finding the right balance between surgical and non-surgical has actually spurred hybrid solutions over the years. Dr. Few cites the evolution of the so-called [Nefertiti neck lift](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe) as one such example. While injecting neurotoxin into neck bands can have a dramatic impact on texture and contour, the effect is temporary. For a longer-lasting result, Dr. Few developed a slightly more invasive neck band procedure. “That's where I can use a special needle that's called a no cord needle to actually go in and break up the bands of the muscle – much like the [Xeomin®](https://aedit.com/procedure/xeomin), [Dysport®](https://aedit.com/procedure/dysportr), or [Botox®](https://aedit.com/procedure/botox) would do – but it does it in a more permanent way,” he says. “You can marry these concepts, which is what makes it fun.”

## **5. The Benefit of ‘Stackable’ Treatments**
Long before the pandemic made the idea of [maximizing in-office time](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments) with your provider a must, Dr. Few was honing the technique of what he calls “stackable treatments.” “When I first came up with ‘stackable treatments’ as a concept, it was the combination of [Ulthera®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) and lasers and fillers – doing that all in one setting,” he shares. As he explains, the combination approach was, initially, “purely out of necessity.” “When I first started seeing patients in New York, I didn't have the luxury of trying to space it out over six months,” he notes. But then he realized the multimodal nature of the appointment was more than just convenient. “There's synergy in it,” he shares, that actually improves the results that would be possible with each treatment individually. 

But not all stacks need to happen at once. Lately, one of the popular pairings at his practice involves combining Dr. Few’s signature [thread lift](https://aedit.com/aedition/pdo-thread-lift-for-facial-rejuvenation) with [Sofwave™](https://aedit.com/aedition/sofwave-for-skin-tightening-collagen-production), a new non-surgical skin-tightening treatment that uses ultrasound waves to firm the skin, and [Kybella®](https://aedit.com/procedure/kybella) to address an array of age-related concerns in the lower face. “I'll do thread lifting, get a result, and then we can come back and do Sofwave™ to further enhance,” he explains. “It seems to really play on that matrix that has been created by the thread lifting.” But that’s not all. “If they still have a little bit of jowl fat, I can do a bit of off-label Kybella® injection to shrink it down,” he adds. “All of a sudden we're creating this approach that can deliver a progressive result.”  

Perhaps most importantly, this trio is not designed to create a trendy, overly snatched jawline. “Always bearing in mind four-dimensional beauty, we’re not trying to do anything just for the sake of a photograph on social media,” Dr. Few says. Instead, the procedures subtly-yet-substantially sculpt the lower face and neck for a more youthful countenance. The result: You’ll look like a rejuvenated version of yourself.

Expert Opinion

Board certified plastic and reconstructive surgeon Julius Few, MD, breaks down the concept.

A Guide To Four Dimensional Beauty For Natural-Looking Results

Why You Need A Four-Dimensional Approach To Beauty

shutterstock 1760754215

Hyaluronic acid-based fillers work somewhat like magic. Injecting them into the appropriate facial planes allows for deflated areas – such as the [cheeks](https://aedit.com/procedure/cheek-augmentation-with-fillers), mid-face, temples, and [lips](https://aedit.com/procedure/temporary-lip-fillers) – to experience an immediate improvement in volume and contour. Often, dermatologists and plastic surgeons veer on the conservative side and take a less is more approach when filling. After all, adding too much volume in any one area, at any one time can lead to an unnatural appearance. However, some patients require more volume than others, which may call for multiple syringes to achieve the desired effect.

Lately, we’ve talked a lot about [overfilled facial features](https://aedit.com/aedition/hyaluronidase-to-dissolve-dermal-filler), [filler migration](https://aedit.com/aedition/why-lip-filler-migrates), and [filler fatigue](https://aedit.com/aedition/dermal-filler-fatigue), which are just a few of the reasons why the concept of injecting large amounts of filler may sound scary. The truth is, in inexperienced hands, it can be. But, if you are working with a highly skilled injector who understands your aesthetic goals, it’s possible for the specialized technique to be both safe and effective. Here, top physicians break down everything you need to know about large-volume filler. 

## **Large Volume vs. Overfilling: What’s the Difference?**
The term ‘large-volume filler’ is relative. It depends on the treatment area and the anatomy of the patient. Generally, it refers to injecting more than the ‘typical’ amount of filler required for a noticeable change in the average patient, says [Jonathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956), a double board certified facial plastic and reconstructive surgeon in Arlington, VA. “I consider ‘large volume’ anything more than a single syringe (one cc) of filler,” he explains. For context, about five syringes of filler are needed to achieve one teaspoon's worth of volume, says [Joshua Zeichner, MD](https://www.instagram.com/joshzeichnermd/?hl=en), a board certified dermatologist in New York City. He adds that a typical ketchup packet contains about seven syringes worth of filler — just a little food for thought.

While large-volume filler equates to a larger, albeit appropriately used, dose, there is some confusion between it and [overfilling](https://aedit.com/aedition/how-to-correct-overfilled-facial-features). A clear distinction exists between the two:

- Overfilling refers to excessive and inappropriate filler placement
- Large-volume filler precisely injects more-than-average doses into the appropriate facial planes

Dr. Zeichner explains that, when placing more volume, the outcome is 100 percent determined by the skill and aesthetic of your injector. “It is no different than going to the museum and seeing a Monet versus a van Gogh,” he shares. “It's the same oil paint just used differently on the canvas.” If the injections are appropriate, the results should be natural and complement, not hinder the patient's appearance. “When the filler is not placed where it should be, patients often look odd or overfilled,” Dr. Zeichner adds.

We all know what an overfilled face looks like, and, unless that's the aesthetic you're going for, most people try to avoid it at all costs. For that reason, it's understandable why some patients get nervous that they will end up looking overfilled when their provider lays out four or five syringes of filler. Seeing a medical [tray of needles](https://aedit.com/aedition/guide-to-needles-used-for-cosmetic-injectables-botox-filler) does more than send off sirens that a substantial bill waits for you at the front desk. Dr. Zeichner says patients are more so afraid of looking overfilled and fake, than the price tag.

## **The Ideal Candidate**
Whether you need half a syringe or five ccs, a full assessment is vital before your provider injects a single drop of filler into your face. This includes studying the anatomy of the treatment area and its relationship to the rest of the face, in addition to learning more about your aesthetic goals. Not every patient needs the major volume technique, and the degree of evident aging determines who benefits from it and who doesn't. 

Typically, those with a significant [volume deficit](https://aedit.com/aedition/best-procedures-to-restore-facial-volume) and/or [asymmetries](https://aedit.com/aedition/cosmetic-procedures-for-body-asymmetries) are candidates for multiple syringes of filler. As such, age is not a factor when it comes to who can reap the benefits. More mature patients who require significant volume restoration and younger patients who mandate facial balance are often contenders, says [Michael Schwartz, MD](https://www.drschwartz.com/), a board certified plastic and reconstructive surgeon in Los Angeles. “Full facial balance restoration improves proportions and [creates harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) within the features instead of augmenting one area,” he explains. “It requires more product because we treat the face entirely to achieve natural results.” However, patients seeking intentional exaggeration of specific features that are not harmonious with the face's natural contours may not be well-suited for large volume injections, adds [Shirley Madhère, MD](https://elementsandgraces.com/about), a holistic plastic surgeon in NYC and founder of [Jet Set Beauty Rx](https://jetsetbeautyrx.com/).

Sometimes, it can be challenging for doctors to educate their patients on how much volume loss they have – and for patients to accept it – “but it is an important conversation to avoid potential disappointment, especially if a patient does not get the result they are looking for when using fewer syringes,” Dr. Zeichner explains. The last thing any provider wants is for a patient to invest in their face and not be happy with the results simply because there is a need for more product.

## **The Right Way to Do It**
What constitutes large-volume filler depends on each patient's face and how much filler they can safely benefit from, says [Kenneth Mark, MD](https://kennethmarkmd.com/), a board certified dermatologist with offices in New York, Aspen, and the Hamptons. Despite the volumizing benefits, he finds patients can be skeptical of substantial amounts of filler because of the suboptimal outcomes they’ve seen on social media from either too much of the wrong filler or poor injections in the wrong places. This rightfully creates legitimate concern amongst patients when they hear the words ‘large-volume filler.’

Using filler as an alternative to traditional cosmetic surgery procedures (like a [rhinoplasty](https://aedit.com/aedition/facts-about-liquid-rhinoplasty) or [chin implant](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures)) and in areas that require more noticeable correction (think: jawline, temples) call for larger volume – often two syringes of filler or more – says Dr. Cabin. “The nose and chin are unique in that fillers create changes in two-dimensional shape in the profile view, as opposed to three-dimensional facial volume change goals with other areas,” he explains. The chin typically requires one to four ccs of filler to create the necessary balance. When injecting insufficient amounts of filler, the results will not be noticeable and can even call unwanted attention to a specific feature.

In the hands of an expert injector who understands the nuances of filler and anatomy, using more than moderate amounts of product can create an aesthetically pleasing result, especially when the placement is deep. “It makes a big difference," says Dr. Zeichner, who regularly uses five or more syringes (often in a single session). “Most of my injections tend to be deep, down to the level of the bone,” he notes. This technique helps provide structure, support, and mattresses to lift and reposition the overlying soft tissue and skin. “If all of the injections are superficial, it weighs down the face and makes the patient look overfilled,” he cautions. Deep placement creates the opposite effect.

Deep injections also create a smoother appearance – sans bumps, lumps, and irregularities. Not injecting more robust fillers deep enough can cause superficial lumps, nodules, and a blue tinge to the skin, known as the Tyndall effect. “When injecting thicker fillers into the skin, it is important to employ a technique that places the filler in the layer of skin that is appropriate to accept the dynamic properties of that filler,” Dr. Madhère explains.

In the case of large-volume fillers, Dr. Mark likes to use a layering technique. Layering is just what it sounds like and consists of placing fillers in various depths of the skin and locations as needed over time. He says layering filler and staging it out over multiple sessions avoids overcorrection and provides natural-looking results. “Utilizing this method and pinpointing precise placement has allowed me to avoid complications and obtain optimal cosmetic results,” he adds.

Technique aside, injecting the right fillers in the right place is essential. Dr. Madhère says thicker hyaluronic acid-based fillers, like [Juvéderm® Voluma](https://aedit.com/procedure/juvederm) and [Restylane® Contour](https://aedit.com/procedure/restylane), occupy more space. But it's not just hyaluronic acid filler that fits the bill. Injectables that fill more robustly, including [Sculptra®](https://aedit.com/procedure/sculptra), which provides a scaffold for a volumizing effect, may be used. “Additionally, thick and long-lasting calcium-based [Radiesse®](https://aedit.com/procedure/radiesse) can also be used,” she explains. “So can [fat injections](https://aedit.com/procedure/facial-fat-grafting), but they involve a surgical procedure and additional costs.” No matter what filler you and your provider ultimately decide on, it's always important to find an injector that understands the differences between the products and where to place each one.

Just like every patient isn’t a candidate for large-volume fillers, not every facial feature should be treated with the technique either. The parts of the face that tend to respond well include the temples, cheeks, midface, and jawline. Dr. Madhère advises against using a lot of volume in the [forehead](https://aedit.com/aedition/cosmetic-forehead-procedures) and [eye area](https://aedit.com/aedition/under-eye-filler-pros-cons), as they can swell and cause undesirable puffiness.

## **One Session or Multiple: Which Is Best?**
There are plenty of patients that only need a bit of filler and respond well to an average dose. Yet, the ‘a little filler goes a long way’ rule doesn't apply to everyone. Dr. Zeichner says that “more filler goes a long way” for many of his patients. And, when there is a need for significant volume and it is within a patient's budget, he prefers injecting it all at once. “This means less anxiety over the visits and a single period of downtime versus multiple visits with potential bruising after each one,” he shares.

Some providers, meanwhile, choose to space out the injections. For example, Dr. Cabin rarely does large volume filler in a single appointment. Instead, he performs spreading out large-volume injections over a few visits because, as he says, there’s a greater chance of unnecessarily high levels of short-term swelling. “The filler tends to settle better when I inject it over several sessions,” he notes. “It settles and creates a more natural correction.”

[Swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) may be one reason to break the injections up, but there's also the potential for volumetric changes that patients don't know to account for. A filler may be a specific volume when it is going in and, most of the time, that volume increases since the product naturally pulls in water from the surrounding tissue (hence, post-treatment swelling). Some of this extra water can remain, causing what Dr. Cabin describes as a more considerable volume change than you would anticipate from the syringe volume alone. Volume fluctuations are another reason why some providers avoid injecting large amounts of filler at once.

## **How Long It Lasts**
The more product your provider injects, the longer it can take to break down and for the area to return to baseline. So, injecting more filler may equate to longer-lasting results, but there is a lot that goes into how long filler results last. “Longevity depends on several factors, including, but not limited to, the main ingredient, chemical composition, amount injected, and patient's metabolism,” Dr. Madhère explains. 

While injectable brands provide an average of how long each product lasts given its intended use (i.e. up to one year), those timeframes vary from one person to the next. “Everyone metabolizes fillers differently, so I like to start with full correction treatment and then follow-up with a [maintenance plan](https://aedit.com/aedition/how-frequently-to-get-non-surgical-cosmetic-procedures-like-dermal-filler-botox-chemical-peel) to keep the results up,” Dr. Schwartz says.

## **The Takeaway**
If your doctor says you'll benefit from multiple syringes of filler, it doesn't mean you will end up with an overfilled face that looks doughy or unnatural. In fact, some patients sport numerous syringes of filler, and no one but them and their injector knows. More often than not, it’s poor injection technique and improper placement that will land you in the ‘done and don't’ category. Ultimately, the decision is yours, but, with the help of an expert injector who understands how to use more robust amounts of filler to replace lost volume or correct asymmetry, you may be happier with the outcome. In the right hands, more can be more.

Dermatologists and plastic surgeons break down the benefits of injecting large volumes of filler for certain patients.

The Pros And Cons Of Large-Volume Filler Injections For Volume, Symmetry, Contour

Why Injectors Say Not To Be Afraid Of Large-Volume Filler

selene-marie-ZUxdy0-FoYg-unsplash

There’s no wrong way to have a vagina – they’re all beautiful – but personal preference is just that, personal. [Vaginal rejuvenation](https://aedit.com/procedure/vaginal-rejuvenation-solutions) is the umbrella term that refers to an array of surgical and non-surgical solutions that can address both functional (think: urinary incontinence, vaginal dryness, vaginismus, etc.) and aesthetic (i.e. vaginal skin laxity, labia shape and size, etc.) concerns related to the vagina and the vulva as a whole.

For many women, conversations about sexual health primarily happen between friends, and they don’t necessarily center around things like appearance, hormonal changes (postpartum and [menopause](https://aedit.com/aedition/menopause-specific-beauty-skincare-hair-products)), or other functional concerns. If the discourse steers towards that topic, it’s often by comparison and without a clear solution. After all, not everyone is friends with medical and sexual wellness experts. 

That’s where we come in. We’re here to have that in-depth chat with a true expert in the field, [Usha Rajagopal, MD](https://aedit.com/provider/usha-rajagopal-md-1330), a board certified plastic and reconstructive surgeon and founder of [San Francisco Plastic Surgery & Laser Center](https://www.sfcosmeticsurgery.com/) who specializes in vaginal rejuvenation, to get clear answers to your ‘below the belt’ questions and learn more about the in-office procedures that exist to treat an array of [female sexual wellness](https://aedit.com/concern/female-sexual-wellness) concerns. 

## **1. It’s Not Just One Procedure**
First things first, the term ‘vaginal rejuvenation’ doesn’t refer to any one thing. “Vaginal rejuvenation is really a combination of vulva rejuvenation along with vaginal rejuvenation,” Dr. Rajagopal explains. Translation: there are options. We break them down below:

### **Surgical Solutions**
- **Labiaplasty**: “To improve the aesthetic appearance of the labia minora and labia majora, we offer a [labiaplasty](https://aedit.com/procedure/labiaplasty),” she shares. The surgical procedure can benefit those experiencing discomfort during exercise, urinary tract infections, painful intercourse, and other physical activity. The surgery can be performed alone or as part of a [mommy makeover](https://aedit.com/concern/mommy-makeover).
- **Monsplasty**: For those who have excess skin and/or fat in their upper pubic area that is impacting their quality of life, Dr. Rajagopal recommends [monsplasty](https://aedit.com/procedure/monsplasty) (a.k.a. mons pubis reduction or pubic lift). It can involve liposuction (to remove fat), surgical excision (to remove skin), or a combination of the two. 

### **Non-Surgical Solutions**
- **Emsella®**: “[Emsella®](https://bodybybtl.com/solutions/btl-emsella/) consists of high-intensity focused electromagnetic stimulation (HIFEM) that is similar to MRI magnetic technology,” Dr. Rajagopal explains. “It stimulates and enhances the function of the pelvic floor muscles.” She says the treatment is ideal for those experiencing urinary incontinence and/or an inability to achieve strong orgasms. The non-invasive treatment (you sit on a chair-like device that stimulates the muscles) calls for six 30-minute sessions in a three-week span.
- **Botox**: Yes, you read that right, Botox for vaginal health. The neurotoxin is used off-label for the treatment of [vaginismus](https://aedit.com/aedition/botox-injections-for-vaginismus), a medical condition that causes involuntary vaginal muscle spasms that can make inserting tampons and penetrative sex painful —  if not impossible. Botox is injected into the bulbospongiosus muscle (i.e. the muscle that surrounds the opening of the vagina) to relax it and relieve the spasms.
- **Infini™ RF**: If a surgical labiaplasty isn’t for you, Dr. Rajagopal says “you can also have just a labia majora reduction with [Infini™ RF](https://aedit.com/procedure/infini-rf).” When used on the vulva, the RF microneedling treatment can firm the tissue of the labia majora to enhance its appearance and even tighten the vaginal canal after natural childbirth. “We call it a vagi-facial,” she notes.
- **Laser Therapy**: Dr. Rajagopal uses [FemiLift®](https://almainc.com/products/femilift), a fractional C02 laser, to treat patients with vaginal dryness due to age and vaginal atrophy (a condition that can cause painful intercourse). The [intravaginal laser](https://aedit.com/procedure/vaginal-rejuvenation-with-laser-energy) is inserted into the vaginal canal (she assures us the treatment is much more tolerable than it sounds). Some patients enjoy the benefits after the first appointment, but Dr. Rajagopal recommends three sessions in three months for best results. 
- **PRP**: To improve pleasure, the so-called [O-Shot](https://aedit.com/procedure/oshot) injects platelet-rich plasma (PRP) into numbed areas of the vagina, clitoris, and labia to heighten orgasms and improve sexual wellness. For some, the effects are immediate, while an initial series of treatments may be needed for others. Results can last three to six months.

## **2. It’s Highly Customizable**
The vulva is made up of multiple organs – including the vagina – and just about all of them can be addressed. While vaginal rejuvenation is often talked about in relation to childbirth, hormonal changes, genetics, and even stress can impact both the form and function of the genital area. “There can be functional issues that may interfere with her lifestyle and how much pleasure she gets out of sex,” Dr. Rajagopal shares. “There can also be aesthetic issues that she may want to address and that’s what we offer.” 

Many of the procedures listed above can be combined to create a treatment plan that best addresses a patient’s unique anatomy and goals. Consulting with a board certified plastic surgeon or gynecologist who specializes in vulva rejuvenation is the best way to learn more about your options.

## **3. Candidates Vary** 
As with any procedure, those interested in vaginal rejuvenation should consult with their provider to ensure their preferred procedure(s) is right for them. As we mentioned, treatments that address vaginal health and appearance aren't one-size-fits-all, nor should they be. “With each treatment, we have an examination first to see who is a viable candidate,” Dr. Rajagopal explains. Topics such as medical history and overall health and wellness should also be discussed during the examination process. Women may also want to consider whether or not they are planning to have children or want to further expand their family. While some of these solutions treat sexual health concerns, others have the ability to be impacted or undone by pregnancy or childbirth.

## **4. Sensitivity Can Be Compromised** 
Although it’s uncommon, a decrease in sensation is always possible after cosmetic procedures – and vaginal rejuvenation is no exception. There is no surefire way to prevent this, though cosmetic gynecology performed by a highly skilled provider who specializes in the practice is the best way to ensure a safe and effective outcome. Prior to booking a procedure, be sure to use the [consultation process](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) to learn more about your provider. Research their credentials, review before and after photos, inquire about how often they perform the procedure(s) you are interested in, and even seek out patient testimonials to ensure you find the right fit. 

## **5. Recovery Is a Process**
The beauty of many non-surgical solutions (vaginal rejuvenation or otherwise) is that they come with minimal [downtime and recovery](https://aedit.com/aedition/best-plastic-surgery-recovery-nurses-centers-products). Even so, there may be some guidelines as to when certain activities, including sex, can be resumed. Be sure to ask your provider about any recovery protocols. 

Recovering from surgery is a bit more involved. Depending on the procedure, a few days to a week of downtime may be needed. Side effects of most vaginal rejuvenation surgeries include swelling, bruising, and discomfort. Infection is a greater risk due to the nature of the area, so practicing good hygiene after surgery is key. Those who have vaginal rejuvenation as part of a [larger mommy makeover](https://aedit.com/aedition/mommy-makeover-recovery-healing-process) will need to factor in the recovery of the other surgeries as well. 

## **The Takeaway** 
From genetics to age to childbirth, there are a wide variety of reasons you may be interested in vulva rejuvenation. For too long, women haven’t had reliable resources to learn more about their options. It’s time to change that. “It has been taboo to speak on female genitalia, while men’s concerns aren’t,” Dr. Rajagopal says. “They have medication to help with erectile dysfunction and aesthetic surgeries to improve the appearance, so I think the time has come for women to feel confident with that area.” Hear, hear!

Female sexual wellness is too often spoken of in hushed tones, but we’re going ‘there’ to answer the questions you have about vaginal rejuvenation.

What To Know About Vaginal Rejuvenation, According To A Plastic Surgeon

5 Things You Need To Know About Vaginal Rejuvenation

sigmund-MQ2xYBHImKM-unsplash

Injectables are constantly evolving, and what was considered the gold standard yesterday may be passé by tomorrow’s standards. One class of injectables that has largely proven to be trend-proof: [Neuromodulators](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) and their ability to limit muscle contraction and soften the look of fine lines, wrinkles, and other age-related concerns. In fact, [Botox® Cosmetic](https://aedit.com/procedure/botox) is celebrating the twentieth anniversary of its approval by the United States Food and Drug Administration (FDA) for the temporary improvement of the appearance of moderate to severe frown lines in adults. It was the first of its kind when it entered the market, and it’s since been joined by [Dysport®](https://aedit.com/procedure/dysportr), [Jeuveau®](https://aedit.com/procedure/jeuveau), and [Xeomin®](https://aedit.com/procedure/xeomin). 

Since no two faces are the same, no two dosages of these products are necessarily the same to achieve a desired result. That’s where so-called ‘Botox sprinkles’ – also known as ‘baby Botox’ – come into play. Not to be confused with [microbotox](https://aedit.com/aedition/aquagold-botox-microdosing-facial), the sprinkle technique is essentially just a smaller dose of a neuromodulator. A modest amount of Botox® and the like may produce a more natural result for younger patients or newbies who are just dipping their toe into the wrinkle-relaxing pool and concerned about appearing frozen.

So, what are the pros and cons of Botox sprinkles, and how can you tell if you are a candidate? We tapped top dermatologists and plastic surgeons for the scoop.

## **What Are Botox Sprinkles?**
A tongue-in-cheek reference for a smaller dose of a neuromodulator, the term ‘Botox sprinkles’ are injections of Botox®, Dysport®, Jeuveau®, or Xeomin® into a specific part of the face to soften the look of fine lines and wrinkles without eliminating all movement. “Botox sprinkles are great for smoothing fine lines and wrinkles on the face without completely removing muscle movement,” says [Michele Green, MD](https://aedit.com/provider/michele-green-md-34642), a NYC-based board certified dermatologist.

The trend of less-is-more shows no signs of slowing down, and some injectors and patients are preferring to use minimal amounts of neuromodulator to preserve expression. At his Arlington, VA, practice, double board certified facial plastic and reconstructive surgeon [Jonathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956), says a large percentage of his patients opt for these treatments to soften facial wrinkles and prevent traditional aging-related wrinkles while preserving natural movement. “It is the ideal option for [first-time Botox patients](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) who are a bit nervous, younger patients interested in prevention, and patients who depend on powerful emotive facial expressions for their work,” he explains.

Like traditional injections of neuromodulators, the ultra-light dose version still requires a medical professional to inject botulinum toxin type A under the skin to temporarily relax the underlying muscle. A sprinkling of a neuromodulator within a particular area may provide a reduction of wrinkles and lines and their formation but not to the same degree as a standard treatment, says [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a board certified dermatologist in New York City. Striking this balance is dependent on the [skill of the provider](https://aedit.com/aedition/botox-neuromodulator-safety). “An experienced injector will be able to determine the right amount of Botox to inject based on how strong your facial muscles are and how deep the wrinkles are,” Dr. Green says. 

The just-right amount of product will soften the visible appearance of wrinkles while limiting – but not paralyzing – the movement that causes them in the first place. Botox sprinkles aren't the best route if you want very little to no movement in the treatment areas. Using less Botox is less likely to completely paralyze the muscle and, therefore, results in more expression, says [Marisa Garshick, MD](https://aedit.com/provider/marisa-garshick-md-313), a board certified dermatologist in NYC. “Ultimately, with Botox sprinkles, you retain some movement and some wrinkles but soften the overall appearance,” she notes. Most injectable patients eschew the fully frozen look (though some want it) and the overarched eyebrows and difficulty moving that accompany it. If you specifically request baby Botox, you are less likely to have that frozen appearance since your doctor injects smaller amounts of the product.

Even though the name ‘sprinkle’ implies injecting a dusting or smidgen of neuromodulator into any one area, it's a little more precise than that. While there is no set requirement for what a sprinkle treatment consists of since each patient requires a different dose, expect about half the unit use compared to complete treatment. “For Botox sprinkles, I use as little as five units of Botox in the forehead and glabella, whereas the official dosing is 20 units for each,” Dr. Cabin says. “For the crow's feet, I use about 2.5 units per side, whereas the official dosing is 12 units per side.” Again, a consultation with your injector will dictate the best approach for you.

It should be noted that a full dosage doesn’t necessarily mean an unnatural or immobile result. If your doctor recommends using the standard dose of a neuromodulator, it still can provide a refreshed look that allows for facial movement. “However, if a patient is interested in maintaining a lot of movement, a lighter treatment with neurotoxin can be a great option,” Dr. Camp says.

## **Where to ‘Sprinkle’**
It's safe to ‘sprinkle’ the same areas of the face that providers commonly treat with larger amounts of neuromodulators – like the glabellar lines (a.k.a. the elevens), [crow's feet](https://aedit.com/procedure/periorbital-botox), and even the horizontal lines on the forehead. For the most part, smaller areas don't require as much product to begin with to erase wrinkles and lines seamlessly. Dr. Green prefers to use the sprinkle technique on areas of the face with lighter lines or where the skin is just starting to develop them. “It also works wonders in reducing mild to moderate wrinkles while still looking natural, but it often fails to yield the desired results for deeper lines etched in the skin,” she says.

## **Who’s the Best Candidate for Botox Sprinkles?**
Botox sprinkles are suitable for anyone who doesn't have many lines yet or has lines that aren't very deep but wants to prevent further wrinkles, Dr. Garshick says. “It's also good for someone who prefers a very natural look with minimal correction but still wants a refreshed appearance,” she explains. “And it can be helpful for older patients with a low-set brow or those who rely on the muscle movement to keep the eyelids and brows open to soften the movement without causing the brow to drop.”

Not everyone will benefit from a smaller dose of neuromodulator injections. While Dr. Camp says it may be a “good option” for those with minimal wrinkling who don’t require a full dose, others may find that a smaller amount of neuromodulator does not produce their desired result. Dr. Green says some patients come in expecting to get baby Botox, but, upon consultation, find out they have strong facial muscles and need more product to achieve optimal cosmetic effects. “The key to getting the best results from a neuromodulator is to go to an experienced injector, like a board certified dermatologist, who can give you natural-looking results,” she notes.

Generally speaking, the deeper the line, the stronger the muscle, and the more product needed to create smoother skin. Dr. Green explains that, with baby Botox, such small quantities of Botox are added to the muscle that it is not entirely relaxed. For deep wrinkles that are the result of overly active or strong facial muscles that repeatedly crease in the same spot for years, too little of an amount won't effectively smooth the area. “It's difficult to undo years of wrinkles with small quantities of Botox, so a regular amount is better for deep lines,” Dr Green shares. “But always ask your doctor what is best for you.”

That’s not all. As Dr. Garshick explains, Botox improves dynamic wrinkles or wrinkles that form with expression as opposed to lines at rest. Regardless of the amount of neuromodulator used, if a line is deeply etched in while at rest, it may not go away with Botox alone. “For these types of deeply etched lines, it can be helpful to also use [laser resurfacing](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) or [microneedling](https://aedit.com/procedure/microneedling) treatments, which can be helpful to improve the appearance of lines at rest,” she adds.

Skin health may also play a role in who Botox sprinkles do and do not work well for. As Dr. Cabin shares, patients with mild-to-moderately etched-in wrinkles but otherwise elastic skin with healthy levels of collagen can eliminate and prevent deepening with consistent sprinkles. “But, in people with poorer skin or those that have significantly deep etched-in lines, this treatment may improve their lines a bit but will not be powerful enough for significant improvement or reversal,” he notes.

## **Does Less Botox Mean Less of a Result?**
In a single word: no. Just because you choose to go lighter on the amount of neuromodulator that is injected doesn’t mean the results are suboptimal. “Botox sprinkles can help the forehead look smoother, the wrinkles around the eyes less pronounced, and the lines between the eyebrows less deep,” Dr. Camp says. “However, the results are more subtle than standard treatments.”

Generally speaking, Dr. Green says baby Botox will yield a similar result to regular Botox, just on a smaller scale. “It is great for younger patients in their [twenties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-20s) and [thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-30s) who are looking to prevent fine lines and wrinkles from developing and subtly reducing the appearance of mild to moderate frown lines,” she shares.

Patient response to neuromodulators varies, and what may equate to a ‘lesser dosage’ for one person may be the standard treatment for someone else. “A ‘sprinkle’ for one could significantly decrease muscular movement for another patient,” Dr. Cabin notes. This is why first-timers are usually encouraged to come back for a follow up. “This is why I recommend two appointments with every new Botox patient,” he explains. “The first appointment is a conservative treatment, and the second appointment – two weeks later – is to see the response and if touch-ups are needed for undertreated areas.”

Certain features, like the forehead, actually respond better to smaller amounts of product versus larger quantities. For example, too much neuromodulator in the forehead can weaken the muscle in the area and force the brows to drop. “Injecting too many units can give the impression of a heavy brow,” Dr. Camp cautions.
 
As far as longevity goes, the lesser dose holds just as much weight in terms of results. It shouldn't wear away any faster or slower, so you can expect, on average, to stay wrinkle-free for about three to four months. In some patients, however, fewer units may equate to a shorter duration of results. This is especially true if the muscles are strong. But, “if the muscles are weaker, you will still notice some benefits for the same duration as expected with a full course of treatment,” Dr. Garshick says.

## **The Takeaway**
Whether it’s a preventative treatment, gateway procedure, or aesthetic preference, Botox sprinkles can serve many purposes. By using less neurotoxin, the muscle will retain more movement than a standard dosage, which can lead to a more natural-looking result. Depending on the depth of your lines, the quality of your skin, and/or your goals for treatment, baby Botox may be all you need to enjoy a more refreshed appearance. Consulting with a board certified dermatologist or plastic surgeon is the best way to determine how much neurotoxin you’ll need to achieve your desired outcome.

Dermatologists and plastic surgeons weigh in on whether using a smaller dose of neurotoxin can still be effective.

The Pros And Cons Of Baby Botox (a.k.a. Botox Spinkles) For Fine Lines And Wrinkles

Are Botox Sprinkles The Way To Go?

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Dermatologists weigh in on the safest solutions for acne, melasma, stretch marks, and more.

How To Treat Acne, Melasma, Stretch Marks, Spider Veins, And More During Pregnancy

Exactly How To Treat 5 Common Skin Conditions During Pregnancy

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We talk a lot about [sun damage and how to correct it](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage), but that conversation is not complete without a discussion about skin cancer. May is Skin Cancer Awareness Month, which serves as an annual opportunity to shed light on the most common type of cancer in the United States. You (hopefully!) know to wear sunscreen year round and limit your exposure to ultraviolet (UV) rays as much as possible, and you may be keeping an eye on suspicious moles or visiting your dermatologist for skin cancer screenings. But there is still a lot to know about skin cancer that can be hard to keep track of even for those with a family history of it. 

With education in mind, we’re breaking down some of the most important things you might not know about [skin cancer](https://aedit.com/aedition/category/skin-cancer). Read on to expand your sun safety knowledge and be sure to give us a ‘thumbs up’ at the end of the article if you learned something new.

## **1. There Are Multiple Types of Skin Cancer**
Generally, skin cancers are usually discussed in two categories: melanoma and non-melanoma. Within those groups, there are three main types that present in different ways:

- **Basal Cell Carcinoma (BCC)**: The most common form of skin cancer with about 3.6 million cases in the U.S. every year, BCC usually develops after years of sun exposure.
- **Squamous Cell Carcinoma (SCC)**: Ranking as the second most common skin cancer with nearly two million cases diagnosed annually, SCC can grow deep into the skin and cause disfigurement.
- **Melanoma**: The most dangerous form of skin cancer due to its ability to spread, the Skin Cancer Foundation [estimates](https://www.skincancer.org/skin-cancer-information/skin-cancer-facts/) there will be 197,700 cases diagnosed in 2022.

If you commit to regular skin checks with your dermatologist and practice safe sun, however, skin cancer is very treatable. From [Mohs surgery](https://aedit.com/procedure/mohs-surgery) to [non-ablative laser therapy](https://aedit.com/aedition/nonsurgical-laser-treatment-for-skin-cancer), there are more treatment options than ever.

## **2. Skin Cancer Is Common – But Preventable**
One in five Americans will develop some sort of skin cancer during their lifetime, making it the [most common](https://www.aad.org/media/stats-skin-cancer) form of cancer in the U.S. But even the sobering statistics don’t tell the whole story. According to the American Cancer Society, the [actual number](https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2020/cancer-facts-and-figures-2020.pdf) of non-melanoma basal cell and squamous cell (i.e. the two most common types of skin cancer) cases are difficult to estimate because they are not required to be reported to cancer registries. Invasive melanoma, meanwhile, only accounts for about one percent of skin cancer cases, but it is responsible for the majority of skin cancer deaths. 

It is estimated that some 10,000 people are diagnosed with skin cancer every day, with more than one million Americans living with melanoma at any given time. If there is any good news to be had, it is this: Skin cancer is the most preventable form of cancer. Unlike cancers that have ambiguous origins or can’t be seen, we know exactly where skin cancer comes from: exposure to UV rays from the sun and artificial sources (read: tanning beds). 

You can play an active role in skin cancer prevention and protection with healthy habits. They include: 

- Monthly at-home skin checks (more on that below)
- Daily use of a broad spectrum sunscreen with a minimum of SPF 30 
- Reapplication of said sunscreen every two hours or immediately after swimming
- Staying in the shade between 10 a.m. and 4 p.m.
- Wearing a wide-brim hat, polarized sunglasses, and UPF clothing
- Avoiding indoor tanning

## **3. No One Is Immune From Skin Cancer**
There is a dangerous misconception that [skin of color](https://aedit.com/aedition/bipoc-skin-cancer-awareness) doesn’t burn or can’t develop skin cancer. It is true that people with lighter skin — types I through III on the [Fitzpatrick scale](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types) — are at a higher risk of developing skin cancer than types IV, V, and VI. But people with darker skin have a higher risk of being diagnosed with skin cancer at a later stage. This means the cancer is often more aggressive and has a lower survival rate.

The most common form of skin cancer for BIPOCs is basal cell carcinoma, specifically on the palms of the hands and soles of the feet. Melanoma most often affects non-Hispanic whites, but people of color have higher rates of acral lentiginous melanoma (ALM), or melanoma of the palms, soles, and nail beds. 

And then there is the age factor. While rare, pediatric melanoma should be on every parent’s radar. According to the National Cancer Institute, nearly 500 children are [diagnosed](https://www.cancer.gov/types/skin/hp/child-melanoma-treatment-pdq) with pediatric melanoma each year. This is why it is so important for *everyone* to apply sunscreen properly and to conduct skin checks regularly.

## **4. Skin Cancer Can Develop Anywhere**
The skin is the body’s largest organ, and there is a lot of it. Skin cancer can develop anywhere, so you should be protecting and checking from the top of your head to the tips of your toes – though certain parts of the body are more overlooked than others. These include the fingers and toes (including under the nails) and the bottoms of the feet. The eyelids, scalp, and genital area are also easy to forget. Last but not least, don’t neglect your lips. Whether you realize it or not, they are part of your skin — a very sensitive one at that – and need protection. We’ve already rounded up the [best lip balms with SPF](https://aedit.com/aedition/best-lip-balms-with-spf) to eliminate any excuse not to protect.

## **5. Skin Cancer Screenings Save Lives**
All forms of skin cancer are treatable, but early detection is key. The five-year survival rate for melanoma is 99 percent, which is why committing to regular skin cancer screenings – both at-home and with your dermatologist – is vital. According to the American Academy of Dermatology (AAD), half of reported melanomas are [self-detected](https://www.aad.org/media/stats-skin-cancer). Just like you do a monthly [self breast examination](https://aedit.com/aedition/what-to-do-if-you-find-a-lump-in-your-breast-breast-cancer-awareness), skin checks should be a part of your routine, too. 

As you know, skin cancer can develop anywhere on the body, so you have to be thorough in your exam. If you’re wondering how you are going to check your scalp or your back – we have an [expert guide to conducting at-home skin cancer screenings](https://aedit.com/aedition/how-to-conduct-at-home-self-examination-skin-cancer-screenings). As it relates to melanoma specifically, the ‘ABCDE rule’ should be considered. The ABCDEs include:

- A – Asymmetry: Growth is asymmetrical
- B – Border: Rough or jagged edges
- C – Color: Various shades of brown, tan, black, red, white, or blue
- D – Diameter: Larger than six millimeters (think: a pencil eraser)
- E – Evolving: Changing, growing, bleeding, etc.

BCC and SCC do not necessarily follow the same pattern, but, generally speaking, you want to be mindful of spots that are growing asymmetrically, evolve in size or color, or suddenly start bleeding, itching, or burning. At the end of the day, self-exams are all about monitoring the skin for changes — whether it’s the evolution of an existing mark or the advent of a new one.

At-home skin checks are a must, but they do not replace a [professional skin cancer screening](https://aedit.com/aedition/dermatologist-skin-cancer-screenings-mole-checks) with a dermatologist. It's usually recommended to start these checks annually around the time you turn 18, though, depending on you and your family's medical history, more frequent visits may be needed. Consulting with a board certified dermatologist is the best way to determine the ideal cadence.

## **6. Sun Damage Is Cumulative**
Having five or more sunburns doubles your risk of developing melanoma, but skin cancer can form from repeated sun exposure over time regardless of if there’s a [sunburn](https://aedit.com/aedition/dermatologist-tips-for-soothing-sunburn) or not. We’re sorry to tell you that the sun damage we see in adulthood is the result of years of damage – often, the cumulative sun exposure we experienced before age 18. That chronic exposure to UV rays can lead to visible signs of aging (i.e. unwanted pigmentation, fine lines and wrinkles, crepiness, etc.), skin cancers, and potentially problematic pre-cancers.

[Actinic keratoses](https://aedit.com/aedition/guide-to-actinic-keratosis) (also known as solar keratoses) are the most common pre-cancers. According to the Skin Cancer Foundation, 58 million Americans have one or more AK and five to 10 percent of those spots become cancerous. They present as scaly patches on the skin – most commonly on the face, lips, ears, neck, scalp, and hands – and are the direct result of UV damage. If left untreated, they can turn into squamous cell carcinoma. Dermatologists can freeze off actinic keratoses with liquid nitrogen. Alternatively, topical chemotherapy or anti-inflammatory agents may be prescribed. In addition to sun protection, regular resurfacing treatments (think: [chemical peels](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels) and [lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing)) may actually help treat pre-cancers by removing the top layer of the skin.

## **7. Sun Care & Skincare Are Critical Parts of Prevention**
We’ve said it several times before, and we’ll say it again: The best way to prevent skin cancer is to protect yourself from harmful UV rays. One of the easiest ways to do that is to apply sunscreen every single day (rain or shine) and reapply regularly. While any sunscreen is better than no sunscreen, the AAD recommends using a broad spectrum sunscreen with a minimum sun protection factor (SPF) of 30. ‘Broad spectrum’ means the formula provides protection against both UVA and UVB rays. The former cause sun damage, while the latter are responsible for sunburns. 

Whether you use a [chemical or physical formula](https://aedit.com/aedition/difference-between-chemical-sunscreen-physical-mineral-sunscreen), the key is to apply the right amount and not miss a spot ([we’ve got expert tips for both](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot)). Today’s sunscreens are infinitely easier to incorporate into your routine than ever before. If you are in the market for a new formula, we have [a list of dermatologist-approved options](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body), [a crop that is lightweight to wear indoors](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors), [a group that’s great for guys](https://aedit.com/aedition/best-sunscreens-for-men), and [a host that double as makeup](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup). 

When it comes to [layering](https://aedit.com/aedition/how-to-apply-layer-skincare-products), apply sunscreen as the last step of your skincare routine but before any makeup. Speaking of skincare, what you put under your SPF can actually make it work harder. [Research shows](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673383/) that pairing your SPF with antioxidants like [vitamin C](https://aedit.com/aedition/facts-about-vitamin-c-in-skincare) can better protect the skin from the sun and free radical damage. You can learn more in our [deep dive into how skincare can treat sun damage](https://aedit.com/aedition/best-skincare-to-treat-sun-damage).

And if the thought of a summer without a sun-kissed glow is too much to bear, consider a sunless alternative (no, we’re not talking about equally damaging tanning beds). [Self-tanners](https://aedit.com/aedition/how-to-make-your-self-tan-last-longer) are a cost-effective and safe way to glow – sans sun. Just remember that self tanner is not a substitute for sunscreen.

## **The Takeaway**
As long as the sun keeps burning, skin cancer is a risk. The best precaution is to avoid excessive sun exposure and to protect your skin with sunscreen or protective clothing. Early detection is key to a favorable prognosis, so get into the habit of conducting regular at-home skin checks and scheduling visits with your dermatologists. We may all be susceptible to skin cancer, but we have the knowledge and tools to prevent it.

The most common type of cancer in the United States is also the most preventable.

Skin Cancer: Facts, Statistics, Treatment, Prevention

7 Skin Cancer Facts That May Surprise You

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Pregnancy causes many changes to the body, some which reverse naturally and others that require a little extra help. If you wish to achieve your pre-baby body or sculpt and contour your new physique, a [mommy makeover](https://aedit.com/concern/mommy-makeover) may be the ultimate amalgamation of procedures to do just that.

The term ‘mommy makeover’ is a catch-all for correcting any changes to a woman's body after childbirth, says [Lauren Chmielewski, MD](https://aedit.com/provider/lauren-chmielewski-md-143), a board certified plastic and reconstructive surgeon in New York City. A traditional mommy makeover typically involves a tummy tuck, liposuction, and breast surgery (breast augmentation, breast lift, or [both](https://aedit.com/aedition/combining-breast-augmentation-with-breast-lift)). Yet, today's mommy makeovers are more inclusive than ever. More women are opting to add [additional procedures](https://aedit.com/procedure/mommy-makeover-solutions) that include fat transfer to the breasts, vaginal rejuvenation, Brazilian butt lifts (as is found in the so-called ‘[hourglass mommy makeover](https://aedit.com/aedition/hourglass-mommy-makeover-with-bbl)’), and even arm and thigh lifts.

Just as important as finding a plastic surgeon who can achieve the results you're after is to understand (yourself) the ins and outs of the highly involved surgery and what the recovery entails. Although most mommy makeover patients are thrilled with the outcome, getting there is not always easy. Often, the [mommy makeover recovery process](https://aedit.com/aedition/mommy-makeover-recovery-healing-process) is downplayed – especially on social media. Therefore, patients need to have realistic expectations when it comes to the steps they need to take to achieve optimal outcomes, says [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board certified plastic and reconstructive surgeon in Lone Tree, CO. “Proper healing requires planning and attention to detail, like attentive wound care, compression, restriction of various activities, and careful attention to what you eat,” he shares.

Generally speaking, three weeks of taking it very easy is recommended, but that’s not always feasible – particularly for moms with young children. The more time you can take to recuperate, however, the better, since bleeding, breakage of internal sutures, and the opening of wounds are possible if you try to do too much too soon, cautions [Mark G. Albert, MD](https://aedit.com/provider/mark-albert-md-77), an NYC-based board certified plastic and reconstructive surgeon.

There's plenty to know about a mommy makeover that all too often flies under the radar. Whether you are in the [research phase](https://aedit.com/aedition/best-questions-to-ask-before-a-mommy-makeover), considering booking, or getting ready for recovery, we tapped top surgeons to get their expert tips on preparing for and recovering from the surgery. Here are 10 things to know before getting a mommy makeover.

## **1. Numbness Can Last Months, If Not Longer**
It's not uncommon for the skin to feel numb for months (even upwards of a year) after the [tummy tuck](https://aedit.com/procedure/abdominoplasty) portion of a mommy makeover. It is a normal – albeit disconcerting – part of the overall [healing process](https://aedit.com/aedition/tummy-tuck-recovery-healing-process), and there's no need to worry about a lingering lack of feeling. It is related to trauma to the nerve endings and swelling. During an abdominoplasty, your surgeon lifts and removes excess skin to tighten the abdominal wall and muscles. “In doing this, we cut the small nerves to the skin, and it takes time for these nerves to grow back to the skin surface,” Dr. Albert says. As a result, there can be little or no feeling through the abdomen during the regrowth period. It's a waiting game as the nerves repair, reconnect, and regenerate independently.

Usually, this process takes a few months, and Dr. Albert says it is incredibly uncommon for someone to have permanent numbness after the procedure. “Any numbness generally subsides as the swelling goes away, which can take up to six to 12 months before completely returning to normal,” Dr. Chmielewski adds. However, some patients never regain 100 percent sensation, and some degree of numbness may always exist in the abdominal area. So, if you feel the urge to scratch an itch with little relief, that’s why. 

## **2. Walking – Even Around the House – Is Difficult at First**
Getting up and mindfully moving is essential in the first few days after a mommy makeover since gentle movement promotes circulation and proper blood flow. Dr. Chmielewski says walking helps lower the chance of developing a blood clot or deep vein thrombosis (DVT) after surgery. Many plastic surgeons advise purchasing a walker (do this [before surgery](https://aedit.com/aedition/best-plastic-surgery-recovery-nurses-centers-products) and have it ready to go when you get home), since mobility is somewhat limited and the extra support is helpful. 

If you find it difficult or painful to stand upright, it is due to the newly created tightness in the core. Any discomfort is temporary. Some surgeons instruct their patients to walk hunched over with the help of a cane to prevent [unnecessary strain](https://aedit.com/aedition/how-to-reduce-tension-scarring-after-cosmetic-surgery) on the stomach incisions, which can force them open. But not every surgeon takes this approach nor agrees with it. “I find this unnecessary and believe it creates more back pain than one would have from the procedure alone,” Dr. Albert shares. “Therefore, I encourage my patients to sit and stand upright and be up and walking the day of the procedure.”

To make sure you keep moving, you’ll want to create a simple walking schedule and have a family member, friend, or partner make sure you stick to it. “Walking for 10 minutes every two hours while awake is a great way to ensure you’re getting enough movement in,” Dr. Chmielewski shares. As for when your movement will feel less encumbered, Dr. Buford says patients usually walk fully upright by week two or three.

## **3. The Shape & Position of the Breasts Will Evolve**
If you opt for [breast implants](https://aedit.com/procedure/breast-augmentation-with-implants) to correct deflation, decreased volume, or droopiness, don’t freak out if you don’t like how your new breasts look the first time you see them. Your first impression will not be your last. The breast implants usually sit very high on the chest [following a breast augmentation](https://aedit.com/procedure/breast-augmentation-with-implants). To help the implants settle into place, Dr. Buford recommends his patients wear a breast band and perform breast implant massages. This settling process (sometimes called ‘drop and fluff’) generally resolves over the coming months. 

It's also normal for the breasts to feel tight and swollen initially. But as the tissue stretches and relaxes and the implants soften up and descend the chest over the next few months, they begin to take their final shape and become more symmetrical and natural looking. “This is a completely normal part of breast augmentation with or without a breast lift,” Dr. Albert says.

## **4. An Electric Recliner Will Make Standing Up & Sitting Down Easier**
Post-mommy makeover, patients may find it cumbersome to get in and out of bed or a chair. That's why some plastic surgeons recommend recovering in an electric recliner, which makes sitting and standing much easier on the body. [Resting in a reclining position](https://aedit.com/aedition/sleeping-better-after-cosmetic-surgery-aesthetic-procedures) (you can sleep in one at night, too) helps take the pressure and strain off the abdominal wall, which is important since unnecessary stress or a pulling feeling can cause an incision to open.

If you don't have a recliner, you may want to purchase one or borrow one from a friend or family member. If an electric recliner is out of the question, consider using a wedge pillow for additional back support when sleeping or resting and use a small pad or lumbar support under the knees for extra support. Learn more in our [guide to post-op pillows](https://aedit.com/aedition/best-pillows-for-plastic-sugery-recovery-healing).

## **5. Your Plastic Surgeon Can Remove an Existing C-Section Scar**
If you delivered your baby via c-section, it's okay to have a mommy makeover once your doctor deems you ready for surgery. However, one of the most commonly asked questions among c-section patients is if a secondary scar is necessary. In most cases, creating a tummy tuck incision below an [existing c-section scar](https://aedit.com/aedition/invasive-non-invasive-procedures-to-fix-appearance-of-c-section-scar) (they're shorter and smaller than abdominoplasty scars) removes the original one. “Many patients have existing scars from previous procedures on the abdomen,” Dr. Chmielewski says. “So, depending on the operation, it is usually possible to have a tummy tuck and use these scars.”

There are some instances where you may not be able to trade a c-section scar for the [hip-to-hip tummy tuck scar](https://aedit.com/aedition/scarring-after-body-plastic-surgery), like if the c-section scar is too low. “When this is the case, it may not be possible to have the abdominoplasty scar placed below the C-section scar,” says [Adam Schaffner, MD](https://aedit.com/provider/adam-schaffner-md-33), a double board certified facial plastic and reconstructive surgeon in NYC. 

## **6. A Compression Garment Will Be Your New Favorite Accessory**
When you wake from surgery, you'll be wearing a tight-fitting [compression garment](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) in at least one area. Although it is uncomfortable, it helps limit swelling in the abdominal area and promotes healthy healing. Dr. Buford calls compression “a necessary evil,” adding that “it can mean the difference between an amazing result and a ho-hum outcome.” He also says that compression enhances local lymphatic drainage and reduces the risk of fluid collections ([seromas](https://aedit.com/aedition/risk-of-seroma-after-cosmetic-surgery)) beneath the skin.

Dr. Albert says that patients know that any compression will stop as soon as they remove the garment, and they will get swollen again. “Typically, patients use the compression garment I give them in the OR for about a week and then switch to a tighter compression garment as the swelling subsides,” he notes. Every plastic surgeon has their recommendation for the length of time that patients should wear compression garments, and most stay in one for at least the first six weeks post-procedure. Throughout that process, you can size down as [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) resolves to retain some degree of compression until you reach your final shape and size. If you do not wear a compression garment or have a manual [lymphatic drainage massage](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) performed, it may lead to prolonged swelling.

## **7. Make Sure You Are Done Having Children**
While there is nothing stopping you from getting pregnant again after a mommy makeover, it certainly will [impact the results](https://aedit.com/aedition/how-pregnancy-affects-cosmetic-surgery-results). “The idea is to make your stomach as flat as possible and the skin as tight as possible, which can stretch again if one has another child,” Dr. Albert says. Dr. Chmielewski agrees and usually advises her patients to wait until they are finished having children to proceed with a mommy makeover. “Cosmetic surgery is an investment, and patients should be at or close to their goal weight for the results to be long-lasting and achieve the best results possible,” she says.

Moreover, getting pregnant following a mommy makeover may have implications on the way the body responds to pregnancy. “If a tummy tuck is performed in which the rectus muscles are tightened (plicated), a woman will likely feel a tighter sensation than prior pregnancies,” Dr. Schaffner says. “There is the theoretical risk of restricting the growth of the fetus.”

## **8. You’ll Need a Laxative (or two) to Get Things Moving Again**
A mommy makeover requires [anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia), and the trade-off for comfort during surgery is constipation in the days following it. For this reason, a laxative is a must for your post-recovery shopping list. Any over-the-counter laxative will do, but, if you’re taking one that you have never used before, it’s best to test it three to five days before your surgery to make sure your body responds well. This way, you can get an idea of how fast-acting it is and any potential side effects. Another way to ensure a smooth transition following surgery is to eat plenty of fiber-rich foods while recovering, which always helps make the bowel movement process a little easier.

## **9. Pay Attention to Your Diet During Recovery**
You are what you eat, especially when in recovery mode. The food you consume while at home recouping from a mommy makeover should be fiber-rich and anti-inflammatory to promote healing. Dr. Buford says surgical nutrition is where patients and many practitioners fall short. But, if you keep to a healthy and clean diet before surgery (along with regular workouts), your recovery will likely be easier and faster — and you'll feel pretty good, too.

Protein is also crucial for recovery. A diet that lacks enough protein may lead to poor wound healing and a lack of energy, Dr. Schaffner says. Steer clear of salty foods, which can cause unnecessary water retention. The same goes for soda and processed and fried foods. They offer no nutritional value, but these inflammatory foods can lead to prolonged swelling. Learn more in our [guide to what to eat before and after cosmetic surgery](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery). 

## **10. You May or May Not Need Drains**
For years, drains were one of the downsides of a tummy tuck. Patients don't like emptying them, and their removal can be uncomfortable. Today, not every plastic surgeon uses drains, and it all depends on your provider’s technique and preference. As Dr. Schaffner explains, progressive tension sutures minimize the need for drains. “We also use medications before and after surgery (such as gabapentin, Celebrex, and Tylenol) and during surgery (such as long-acting anesthetics) to [minimize the need for opioids/narcotics](https://aedit.com/aedition/opioid-free-plastic-surgery-pain-management) and shorten recovery times and minimize the development of complications,” he adds. Drainless tummy tucks make the recovery process a bit easier with [better scarring](https://aedit.com/aedition/how-to-reduce-tension-scarring-after-cosmetic-surgery), too.

## **The Takeaway**
From what procedures to get to how much childcare to arrange, we know there is a lot to consider before, during, and after a mommy makeover. To help, we’ve got all the resources you need to simplify the research process:

- [7 Questions To Ask Before Booking A Mommy Makeover](https://aedit.com/aedition/best-questions-to-ask-before-a-mommy-makeover)
- [Expectation vs. Reality: Recovering From A Mommy Makeover](https://aedit.com/aedition/mommy-makeover-recovery-healing-process)
- [Is The Hourglass Mommy Makeover The New Mommy Makeover?](https://aedit.com/aedition/hourglass-mommy-makeover-with-bbl)
- [What Happens When You Get A Breast Lift After Breastfeeding](https://aedit.com/aedition/mastopexy-breast-lift-after-pregnancy-breastfeeding)
- [Here’s What You Need To Know About Repairing Diastasis Recti](https://aedit.com/aedition/diastasis-recti-repair-abdominal-separation-post-pregnancy-weight-loss)
- [How To Improve The Appearance Of A C-Section Scar](https://aedit.com/aedition/invasive-non-invasive-procedures-to-fix-appearance-of-c-section-scar)
- [How Pregnancy Affects Cosmetic Procedure Results](https://aedit.com/aedition/how-pregnancy-affects-cosmetic-surgery-results)

From there, a consultation with a board certified plastic surgeon who specializes in mommy makeovers will allow you to develop a treatment plan that best aligns to your lifestyle and aesthetic goals.

Hint: It involves so much more than just a little nip and tuck.

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